EARLY OUTCOMES OF PANCREATICODUODENECTOMY WITH ROUX-EN-Y GASTROJEJUNOSTOMY
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Abstract
Objectives: To evaluate the early outcome of pancreaticoduodenectomy (PD) with Roux-en-Y. Methods: A cross-sectional descriptive study was conducted on 289 patients who underwent pancreaticoduodenectomy with Roux-en-Y reconstruction with an isolated gastric limb from January 2019 to September 2024 at the Department of Hepatobiliary and Pancreatic Surgery, Military Central Hospital 108. Results: The average age was 57.8 ± 11.6 years, with 76.1% of patients aged between 40 - 60 years. The male-to-female ratio was 1.92, with 65.7% male patients. Malignant tumors around the ampulla of Vater accounted for 83.1% of cases, and 12 patients (4.1%) had neoadjuvant therapy. 19 cases (6.5%) required vascular reconstruction due to tumor invasion. The average surgical time was 204.4 ± 37.3 minutes for open surgery and 372 ± 45 minutes for laparoscopic surgery. The complication rates for pancreatic fistula were 24.2% (grade A), 16.2% (grade B), and 4.5% (grade C), with delayed gastric emptying observed in 4.8%, bile leakage in 3.5%, surgical site infection in 4,2%. The average duration of drain placement was 8.4 ± 4.6 days. The average postoperative hospital stay was 12.9 ± 6.5 days, ranging from 7 to 22 days. Conclusion: Roux-en-Y reconstruction with isolated gastric limb in pancreaticoduodenectomy is safe, effective, separating the pancreatojejunostomy, maintain oral feeding even in the presence of pancreatic fistula complications.
Keywords
Pancreaticoduodenectomy, Roux-en-Y reconstruction with isolated gastric limb, Pancreatic fistula
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References
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