既往 Roux-en-Y 胃旁路术后行胰十二指肠切除术：一项匹配病例对照研究。
Pancreaticoduodenectomy in Patients with Previous Roux-en-Y Gastric Bypass: a Matched Case-Control Study.
机构信息
Department of Surgery, Tbilisi State Medical University, Tbilisi, Georgia.
Department of Surgery, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA.
出版信息
Obes Surg. 2020 Jan;30(1):369-373. doi: 10.1007/s11695-019-04068-z.
Little has been reported regarding outcomes of pancreaticoduodenectomy (PD) in patients with previous Roux-en-Y gastric bypass (RYGB). We performed a retrospective case-control study of patients undergoing PD after RYGB from January 2012 through July 2017 at 2 institutions. Of the 380 patients who underwent PD, 12 (3.2%) had previous RYGB. They were matched (by age, sex, diagnosis, operative approach, and year of surgery) to 36 non-RYGB patients undergoing PD (1:3 ratio). No difference was found between groups in mean operative time, length of hospitalization, or postoperative morbidity. A history of RYGB in patients with pancreatic head pathology did not delay surgical intervention. Outcomes of PD were similar for patients who did or did not have prior RYGB.
关于既往 Roux-en-Y 胃旁路术（RYGB）患者行胰十二指肠切除术（PD）的结局，相关报道较少。我们对 2 家机构于 2012 年 1 月至 2017 年 7 月期间行 RYGB 后继行 PD 的患者进行了一项回顾性病例对照研究。在 380 例行 PD 的患者中，有 12 例（3.2%）既往行 RYGB。将他们与 36 例行 PD 但未行 RYGB 的患者（1:3 比例）进行匹配（按年龄、性别、诊断、手术途径和手术年份）。两组间的平均手术时间、住院时间或术后发病率无差异。胰腺头部病变患者有 RYGB 史并不会延迟手术干预。有或没有既往 RYGB 的患者行 PD 的结局相似。
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