Retrograde vs Conventional Dissection Technique in Pancreaticoduodenectomy: A Pilot Study.
OBJECTIVE
A retrograde dissection technique of pancreaticoduodenectomy in a caudocranial direction has been described recently.


METHODS
Fifteen consecutive patients who underwent retrograde pancreaticoduodenectomy were compared with 15 consecutive patients operated on through a conventional approach. The mean (SD) intraoperative blood loss was 407 (202) mL in the retrograde group compared with 423 (253) mL in the conventional group (P = .84). The mean (SD) operative duration was 255 (57) minutes in the retrograde group compared with 264 (54) minutes in the conventional group (P = .66). The overall morbidity was 7 of 15 patients (47%) in the retrograde group and 6 of 15 (40%) in the conventional group (P > .99). Neither group had a positive resection margin or a perioperative death.


CONCLUSIONS
The retrograde dissection technique had no significant difference in perioperative outcomes compared with the conventional dissection technique and could serve as an alternative dissection approach in pancreaticoduodenectomy.
Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Hai-Yang
HY
Zhou
Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Yi
Y
Wang
Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Jian
J
Zhang
Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Can-Ping
CP
Ruan
Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Wei-Jun
WJ
Wang
Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Yan-Ping
YP
Sun
Department of General Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Zhi-Qian
ZQ
Hu
D016063:Blood Loss, Surgical; D004210:Dissection / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010865:Pilot Projects; D011183:Postoperative Complications; D011446:Prospective Studies; D016896:Treatment Outcome