Malya F U, Karatepe O, Bektasoglu H, Cipe G, Bozkurt S, Hasbahceci M, Ozturk G, Yildiz K, Muslumanoglu M
Hepatogastroenterology. 2014 Mar-Apr;61(130):484-8.
BACKGROUND/AIMS: Although mortality rates decreased in recent years, pancreaticoduodenectomy is still associated with high morbidity rates. Pancreatic fistula is the leading cause of morbidity after pancreaticojejunal anastomosis and commonly occurs in soft pancreas. The objective of this study is to compare outcomes of conventional modified invaginated end to side pancreaticojejunostomy with a new practical method using V-Loc 'rM 180 wound closure device in soft pancreas.
Between December 2011 and August 2013, a total of 90 pancreaticoduodenectomy procedures were performed in our hospital. 28 of them were defined as soft pancreas according to attending surgeon and included in this study. Patients were divided into two groups consecutively and analysed for postoperative pancreatic fistula (POPF) rate, length of stay, operation time, cost and particular duration of anastomosis. Pancreatic fistulas were classified according to International Study Group on Pancreatic Fistula (ISGPF) definition.
1 grade A and 2 grade B fistulas appeared in V-Loc group (Group 1), whereas 1 grade A, 2 grade B and 1 grade C fistulas appeared in conventional anastomosis group (Group 2).
Pancreaticojejunostomy with V-Loc suture is a convenient method in soft pancreas and can be performed safely.
背景/目的：尽管近年来死亡率有所下降，但胰十二指肠切除术的发病率仍然很高。胰瘘是胰空肠吻合术后发病的主要原因，常见于软胰腺。本研究的目的是比较传统改良套入式端侧胰空肠吻合术与一种使用V-Loc 'rM 180伤口闭合装置的新实用方法在软胰腺中的效果。
2011年12月至2013年8月，我院共进行了90例胰十二指肠切除术。根据主刀医生的判断，其中28例被定义为软胰腺并纳入本研究。患者被连续分为两组，分析术后胰瘘（POPF）发生率、住院时间、手术时间、费用和吻合的具体时长。胰瘘根据国际胰瘘研究组（ISGPF）的定义进行分类。
V-Loc组（第1组）出现1例A级和2例B级瘘，而传统吻合组（第2组）出现1例A级、2例B级和1例C级瘘。
使用V-Loc缝线进行胰空肠吻合术在软胰腺中是一种方便的方法，且可安全实施。
