ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU ỨNG DỤNG MIỆNG NỐI BLUMGART CẢI BIÊN TRONG PHẪU THUẬT CẮT KHỐI TÁ TRÀNG – ĐẦU TỤY TẠI BỆNH VIỆN QUÂN Y 175

Mạnh Nguyễn Văn; Thảo Trịnh Văn; Dũng Nguyễn Quốc

doi:10.59354/ydth175.2021.105

Keywords:

Pancreatoduodenectomy, Pancreato-jejunostomy, Blumgart anastomosis

Abstract

Pancreaticoduodenectomy is complex surgery with the highest complication rate in abdominal surgery (20 – 40%). For years, surgeons have tried many various methods to reduce its incidence. Recently, Blumgart anastomosis is reported to be a safe procedure and significantly reduces postoperative complications. Especially, it reduced the incidence of postoperative pancreatic fistula. In this study, we initially applied Blumgart anastomosis for six cases who underwent pancreatoduodenectomy, was performed in our hospital. Results: average operative time (296.7 min), the duration of pancreaticojejunostomy drainage tube placement 6.3 days and postoperative hospital stay 13.3 days. The overall complications after surgery is few and there is not pancreatic fistula and serious complications (Clavien ≥3). Thus, we initially identify Blumgart anastomosis is a feasible pancreaticojejunostomy procedure in pancreatoduodenectomy surgery. It is safe in causing less postoperative complications, especially pancreatic fistula and shorten the duration of treatment. Therefore, we recommend the use of Blumgart anastomosis in pancreaticoduodenectomy

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