[Intraoperative possibilities of reduction of postoperative complications frequency in pancreaticoduodenal resection on its reconstructive stage].
Experience of pancreaticoduodenal resection (PDR) performance in 81 patients in 2007-2008 yrs was summarized. There were studied up the risk of postoperative gastrostasis occurrence and factors, promoting such a risk lowering. In 24 patients (the main group) gastro- and duodenoenteroanastomosis were formatted in antecolic position, while in 57 (the control group) the gut continuity was restored according to standard method. Postoperative gastrostasis in a control group had occurred in 10 (17.5%) patients, while in the main group this complication was absent. Formation of gastro- and duodenoenteroanastomoses in antecolic fashion and absence of early postoperative complications are considered the factors, trustworthy influencing the risk of postoperative gastrostasis occurring. Application of a pylorus--preserving procedure of PDR had not promoted the risk of raising of postoperative gastrostasis occurrence.
Kopchak
V M
VM
Kopchak
K V
KV
Khomiak
I V
IV
Duvalko
A V
AV
Borisov
B V
BV
Davidenko
N G
NG
D004750:Enteral Nutrition; D005746:Gastric Emptying / Q000502:physiology; D018589:Gastroparesis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007441:Intubation, Gastrointestinal; D010182:Pancreatic Diseases / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000009:adverse effects* / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*; D012720:Severity of Illness Index