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Laparoscopic-adapted Blumgart pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy

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dc.contributor.author Poves Prim, José Ignacio
dc.contributor.author Morató Redondo, Olga
dc.contributor.author Burdío Pinilla, Fernando
dc.contributor.author Grande Posa, Luís
dc.date.accessioned 2017-11-30T08:22:36Z
dc.date.issued 2017
dc.identifier.citation Poves I, Morató O, Burdío F, Grande L. Laparoscopic-adapted Blumgart pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy. Surg Endosc. 2017 Jul;31(7):2837-2845. DOI: 10.1007/s00464-016-529
dc.identifier.issn 0930-2794
dc.identifier.uri http://hdl.handle.net/10230/33414
dc.description.abstract BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complex procedure that is becoming increasingly popular among surgeons. Postoperative pancreatic fistula (POPF) remains the most feared specific complication in reconstruction after PD. The Blumgart anastomosis (BA) has been established as one of the safest anastomosis for pancreas remnant reconstruction, with low rates of POPF and postoperative complications. The procedure for performing this anastomosis by laparoscopic approach has not been reported to date. METHODS: We describe our technique of LPD with laparoscopic-adapted BA (LapBA) and present the results obtained. A case-matched analysis with open cases of BA is also reported. RESULTS: Since February 2013 to February 2016, thirteen patients were operated of LapBA. An equivalent cohort of open PD patients was obtained by matching sex, ASA, pancreas consistency and main pancreatic duct diameter. Severe complications (grades III-IV) and length of stay were significantly lesser in LapBA group. No differences in POPF, readmission, reoperation rate and mortality were detected. CONCLUSIONS: The LapBA technique we propose can facilitate the pancreatic reconstruction after LPD. In this case-matched study, LPD shows superior results than open PD in terms of less severe postoperative complications and shorter length of stay. Randomized control trials are required to confirm these results.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Springer
dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s00464-016-529
dc.subject.other Laparoscòpia
dc.subject.other Pàncrees -- Cirurgia
dc.title Laparoscopic-adapted Blumgart pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1007/s00464-016-529
dc.subject.keyword Blumgart anastomosis
dc.subject.keyword Blumgart pancreaticojejunostomy
dc.subject.keyword Laparoscopic pancreaticoduodenectomy
dc.subject.keyword Pancreatic fistula
dc.subject.keyword Pancreaticoduodenectomy
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/acceptedVersion
dc.embargo.liftdate 2018-07-31
dc.date.embargoEnd info:eu-repo/date/embargoEnd/2018-07-31

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