ID 111277
Author
Kamo, Hitomi Taoka Hospital
Yoshioka, Kazuo Taoka Hospital|The University of Tokushima
Sumise, Yuko Taoka Hospital
Okitsu, Natsu Taoka Hospital
Harino, Yukari Taoka Hospital
Yamaguchi, Takeshi Taoka Hospital
Ikeyama, Shizuo Taoka Hospital
Yamanaka, Akemi Taoka Hospital
Keywords
No-touch pylorus-resecting pancreatoduodenectomy (PrPD)
antecolic gastrojejunostomy
lost stent tube
early removal of drainage tube
Content Type
Journal Article
Description
Purposes : Pancreatoduodenectomy (PD) was performed for 6 periampullary cancer patients by using methods verified by quality randomized controlled trials (RCT) in a low-volume center (LVC). The purpose of this study was to verify the clinical results. Methods : No-touch pylorus-resecting pancreatoduodenectomy (PrPD), antecolic gastrojejunostomy, pancreatico-jejunostomy with a lost stent tube to the main pancreatic duct, and early removal of a prophylactic drain were performed. Results : The drain could be removed 4 days after operation, and no pancreatic fistula was observed in all cases. Solid food could be started on POD4 after removing the drain. Furthermore, postoperative systemic chemotherapy could be started earlier. Conclusion : Although we have only a few PD cases a year in our institution, PD can be conducted safely without complications by using the methods verified by quality RCTs.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
AA12022913
Publisher
Faculty of Medicine Tokushima University
Volume
62
Issue
3-4
Start Page
188
End Page
194
Sort Key
188
Published Date
2015-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences