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Which is the best pancreatic anastomosis

Published on May 1, 2019in Minerva Chirurgica0.736
· DOI :10.23736/s0026-4733.19.07997-5
Guido Fiorentini , Domenico Tamburrino13
Estimated H-index: 13
+ 3 AuthorsMassimo Falconi79
Estimated H-index: 79
Abstract
  • References (29)
  • Citations (0)
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References29
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#1Elisa BannoneH-Index: 2
Last. Roberto SalviaH-Index: 37
view all 7 authors...
Objective:The aim of the study is to characterize postoperative acute pancreatitis (POAP).Summary Background Data:A standardized definition of POAP after pancreaticoduodenectomy (PD) has been recently proposed, but specific studies are lacking.Methods:The patients were extracted from the prospective
6 CitationsSource
#1Martin Schindl (Medical University of Vienna)H-Index: 22
#2Reinhold FüggerH-Index: 28
Last. Michael Gnant (Medical University of Vienna)H-Index: 73
view all 10 authors...
8 CitationsSource
#1Toru KojimaH-Index: 2
#2Takefumi NigumaH-Index: 5
Last. Tetsushige MimuraH-Index: 4
view all 5 authors...
Abstract Background Postoperative pancreatic fistula (POPF) and its complications remain problems. This study evaluated combination treatment with modified Blumgart anastomosis and an original infection control method (complete packing method) following pancreatic head resection. Methods This study included 374 consecutive patients who underwent pancreatic head resection: 103 patients underwent Cattell-Warren anastomosis (CWA); 170 patients underwent modified Kakita anastomosis (KA); and 101 pat...
2 CitationsSource
#1Marcio Carlos Machado (USP: University of São Paulo)H-Index: 31
#2Marcel Autran C. Machado (USP: University of São Paulo)H-Index: 23
Abstract Objective The aim of this study is to perform a comprehensive evaluation of 5 years of experience with the technique of isolated pancreatic anastomosis reconstruction after pancreatoduodenectomy from the perspective of safety and surgical efficacy using a prospective database. Methods The study included all consecutive patients undergoing pancreatoduodenectomy from April 2009 to April 2014 at a single referral center for hepato-pancreato-biliary diseases. The primary endpoint was the sa...
10 CitationsSource
#1Gianpaolo BalzanoH-Index: 30
#2Giovanni CaprettiH-Index: 14
Last. Raffaele PezzilliH-Index: 31
view all 6 authors...
Background According to current guidelines, pancreatic cancer patients should be strictly selected for surgery, either palliative or resective.
15 CitationsSource
#1Stefano CrippaH-Index: 41
#2Roberto Cirocchi (University of Perugia)H-Index: 33
Last. Massimo FalconiH-Index: 79
view all 8 authors...
Purpose To perform an up-to-date meta-analysis of randomized controlled trials (RCTs) comparing pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG) in order to determine the safer anastomotic technique. Compared to existing meta-analysis, new RCTs were evaluated and subgroup analyses of different anastomotic techniques were carried out.
23 CitationsSource
#1Stefano Andrianello (University of Verona)H-Index: 7
#2Antonio Pea (University of Verona)H-Index: 12
Last. Claudio Bassi (University of Verona)H-Index: 5
view all 9 authors...
Abstract Purpose Pancreatic fistula represents the most important complication in terms of clinical management and costs after pancreaticoduodenectomy. A lot of studies have investigated several techniques in order to reduce pancreatic fistula, but data on the effect of sutures material on pancreatic fistula are not available. The analysis investigated the role of suture material in influencing pancreatic fistula rate and severity. Methods Results from 130 consecutive pancreaticoduodenectomy wit...
17 CitationsSource
#1Emanuele Galli (UniSR: Vita-Salute San Raffaele University)H-Index: 1
#2Cristina FagnaniH-Index: 1
Last. Lucia Zannini (University of Milan)H-Index: 6
view all 9 authors...
Abstract Background ERAS ® has recently been implemented in pancreatic surgery settings, but there is little evidence regarding the effects as perceived by patients. Given the lack of the knowledge in the field, the aim of this study was to capture the experience of patients undergoing pancreatic surgery who received perioperative care based on the ERAS ® programme. Methods We designed a qualitative study undertaken in the pancreatic surgery unit of San Raffaele Hospital in Milan, Italy. Twenty-...
3 CitationsSource
#1Benjamin MenahemH-Index: 7
#2Lydia GuittetH-Index: 17
Last. Jean LubranoH-Index: 7
view all 5 authors...
Abstract To review prospective randomized controlled trials to determine whether pancreaticogastrostomy (PG) or pancreaticojejunostomy (PJ) is associated with lower risks of mortality and pancreatic fistula after pancreaticoduodenectomy (PD). Previous studies comparing reconstruction by PG and PJ reported conflicting results regarding the relative risks of mortality and pancreatic fistula after these procedures. MEDLINE, the Cochrane Trials Register, and EMBASE were searched for prospective rand...
69 CitationsSource
#1Ulla Klaiber (Heidelberg University)H-Index: 8
#2Pascal Probst (Heidelberg University)H-Index: 11
Last. Thilo Hackert (Heidelberg University)H-Index: 33
view all 7 authors...
Background Postoperative pancreatic fistula is one of the most important and potentially severe complications after partial pancreaticoduodenectomy. In this context, the reduction of postoperative pancreatic fistula by means of a dual-loop (Roux-en-Y) reconstruction with isolation of the pancreaticojejunostomy from biliary drainage has been evaluated in several studies. This systematic review and meta-analysis summarizes evidence of effectiveness and safety of the isolation of the pancreaticojej...
32 CitationsSource
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