%0 Journal Article
%T T¨¦cnica y resultados con reconstrucci¨®n pancreato-g¨¢strica ducto-mucosa en pancreatoduodenectomy
%A Losada M
%A H¨¦ctor
%A Mu£¿oz C
%A C¨¦sar
%A Contreras R
%A Juan
%A Burgos S.J
%A Luis
%A Silva A
%A Jorge
%J Revista chilena de cirug¨ªa
%D 2012
%I Scientific Electronic Library Online
%R 10.4067/S0718-40262012000300007
%X background: pancreatic reconstruction in pancreatoduodenectomy (pd) has many technical options. evidence shows no difference in pancreatic fistula 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 ¡À 12 years (59% women), subjected to pancreatoduodenectomy, using dmpg. perioperative complications were reported using the dindo-clavien classification. 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 (no). two patients died (5%). postoperative complications were registered in 35% of patients. two patients developed pancreatic fistulas, that were type a and b i one patient each, according to the classification 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.
%K pancreaticoduodenectomy
%K pancreatic cancer
%K pancreatogastrostomy.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-40262012000300007&lng=en&nrm=iso&tlng=en