Kim S W, Youk E G, Park Y H
Department of Surgery, Seoul National University College of Medicine, Korea.
World J Surg. 1997 Jul-Aug;21(6):640-3. doi: 10.1007/s002689900286.
Pancreatogastrostomy (PG) for restoring pancreaticoenteric continuity after pancreatoduodenectomy (PD) has been recommended by a few surgeons on the basis of certain theoretic and practical advantages of this procedure over pancreatojejunostomy (PJ). The purpose of this study was to determine whether PG can be a safe alternative to PJ. Eighty-six PDs performed by the same surgeon for periampullary carcinoma were analysed to compare early and late postoperative results of PJ (n = 38) and PG (n = 48). The two groups were comparable for age, sex, diagnosis, stage, and operation time. PJ leakage developed in six patients (15.8%) and PG leakage in one (2.1%) (p < 0.05). Overall rates of morbidity/hospital mortality were 34.2/7.9% and 18.8/4.2% in the PJ and PG groups, respectively. In conclusion, PG showed a more favorable early outcome than PJ. PG is recommended for surgeons who encounter difficulties with PJ for reconstruction after PD.
胰十二指肠切除术后（PD），部分外科医生基于胰胃吻合术（PG）相对于胰空肠吻合术（PJ）的某些理论和实际优势，推荐采用PG来恢复胰肠连续性。本研究旨在确定PG是否可作为PJ的安全替代方案。分析了同一外科医生为壶腹周围癌施行的86例PD，以比较PJ组（n = 38）和PG组（n = 48）术后早期和晚期结果。两组在年龄、性别、诊断、分期和手术时间方面具有可比性。PJ组有6例（15.8%）发生吻合口漏，PG组有1例（2.1%）发生吻合口漏（p < 0.05）。PJ组和PG组的总体发病率/医院死亡率分别为34.2/7.9%和18.8/4.2%。总之，PG的早期结果比PJ更有利。对于PD术后行PJ重建有困难的外科医生，推荐采用PG。
