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| Format: | Artículo científico |
| Language: | es |
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Sociedad de Cirujanos de Chile
2012
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| Online Access: | https://www.redalyc.org/articulo.oa?id=345531954007 |
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Table of Contents:
- Técnica y resultados con reconstrucción pancreato-gástrica ducto-mucosa en pancreatoduodenectomía HÉCTOR LOSADA M. CÉSAR MUÑOZ C. JUAN CONTRERAS R. LUIS BURGOS S.J. JORGE SILVA A. Medicina Key words pancreatic cancer pancreatogastrostomy Pancreaticoduodenectomy Pancreatic reconstruction in pancreatoduodenectomy (PD) has many technical options. Evidence shows no difference in pancreatic fi stula rate or mortality between pancretogastrostomy and pancrea- ticojejunostomy reconstruction. Aim: To report the results of the technique used by our team to perform duct- to-mucosa pancreaticogastrostomy (DMPG) in PD. Material and Methods: Follow up of 37 patients aged 53 ± 12 years (59% women), subjected to pancreatoduodenectomy, using DMPG. Perioperative complications were reported using the Dindo-Clavien classi fi cation. Results: All patients had a pancreatic cancer. The tumor was located in the head or ampulla of Vater in 38% of patients. The most common histological type was adenocarcinoma in 33 patients (89%). Seventy three percent of patients did not have regional lymph node involvement (N0). Two patients died (5%). Postoperative complications were registered in 35% of patients. Two patients developed pancreatic fi stulas, that were type A and B I one patient each, according to the clas- si fi cation of the International Study Group on Pancreatic Fistula. Conclusions: The morbidity and mortality associated with DMPG in PD in the reported cohort are comparable to those reported by other local studies. 2012 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531954007 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.3 Vol.64