Pancreaticogastrostomy after subtotal pancreatectomy for cancer.
BACKGROUND
Failure of the pancreaticodigestive anastomosis after pancreatoduodenectomy is still a major clinical problem. Pancreaticogastrostomy has recently been suggested to be associated with a low risk of leakage. The aim of this report was to add to previously reported experience.


METHODS
Data on the postoperative course were prospectively registered in 19 patients operated on with subtotal pancreatectomy because of periampullary cancer. They all had a duct-to-mucosa pancreaticogastrostomy.


RESULTS
There were no recognizable leakages from the pancreaticogastrostomy. However, the overall postoperative complication rate was 47% (9/19), the most common complications being delayed gastric emptying (26%, 5/19), wound infection (21%, 4/19), and wound rupture (11%, 2/19). Excluding delayed gastric emptying, the rate of intra-abdominal complications was 16% (3/19). There was 1 in-hospital death.


CONCLUSIONS
The results support the opinion that pancreaticogastrostomy can be done with a low risk of leakage.
Ihse
I
I
Department of Surgery, University Hospital, Lund, Sweden.
Axelson
J
J
Hansson
L
L
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D005260:Female; D005746:Gastric Emptying; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy / Q000379:methods*; D011183:Postoperative Complications; D011446:Prospective Studies; D013530:Surgical Wound Infection