ID 111277
著者
Kamo, Hitomi Taoka Hospital
田代, 征記 Taoka Hospital|The University of Tokushima 徳島大学 教育研究者総覧
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
キーワード
No-touch pylorus-resecting pancreatoduodenectomy (PrPD)
antecolic gastrojejunostomy
lost stent tube
early removal of drainage tube
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
AA12022913
出版者
Faculty of Medicine Tokushima University
62
3-4
開始ページ
188
終了ページ
194
並び順
188
発行日
2015-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系