Laparoscopic-adapted Blumgart pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy

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• dc.contributor.author Poves Prim, José Ignacioca
• dc.contributor.author Morató Redondo, Olgaca
• dc.contributor.author Burdío Pinilla, Fernandoca
• dc.contributor.author Grande Posa, Luísca
• dc.date.accessioned 2017-11-30T08:22:36Z
• dc.date.issued 2017
• 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/pdfca
• 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.doi http://dx.doi.org/10.1007/s00464-016-529
• dc.identifier.issn 0930-2794
• dc.identifier.uri http://hdl.handle.net/10230/33414
• dc.language.iso eng
• dc.publisher Springerca
• dc.relation.ispartof Surgical Endoscopy. 2017 Jul;31(7):2837-45
• dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s00464-016-529
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• 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.subject.other Laparoscòpia
• dc.subject.other Pàncrees -- Cirurgia
• dc.title Laparoscopic-adapted Blumgart pancreaticojejunostomy in laparoscopic pancreaticoduodenectomyca
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion