Comparison of Two Pancreatic Anastomosis Techniques in terms of Postoperative Complications After Pancreaticoduodenectomy

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dc.authoridsoyer, vural/0000-0003-4271-7467
dc.contributor.authorKoc, Suleyman
dc.contributor.authorDirican, Abuzer
dc.contributor.authorSoyer, Vural
dc.contributor.authorAra, Cengiz
dc.contributor.authorYologlu, Saim
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-10-26T18:00:21Z
dc.date.available2024-10-26T18:00:21Z
dc.date.issued2021
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjective: in this retrospective study, we compared the postoperative complications by using both the Clavien-Dindo classification and the Revised 2016 International Study Group on Pancreatic Surgery (ISGPS) classification methods after pancreaticoduodenectomy. Materials and Methods: The data of patients were retrospectively reviewed. Pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG) were performed on 41 and 40 patients, respectively. The patients were assigned into two groups for anastomosis types and compared with each other according to postoperative complications. The postoperative follow-up period of the patients was limited to 90 days. Results: No significant difference was detected between the two groups in terms of gender (P = 581) and age (P = .809). According to the Clavien-Dindo classification system, grade I complication rates were 29.3% and 35.0% in. PJ and PG groups. respectively. Also, grade 2 complication rates were 34.1% and 325% in PJ and PG groups, respectively. Besides, grade 3B complication rates were 9.8% and 17.5% in PJ and PG groups, respectively. No grade 3A, grade 4A, and grade 4B complications were detected in both groups. But, grade 5 complications rates were 2.4% and 5.0% in 11 and PG groups, respectively. Based on the ISGPS classification system, the pancreatic fistulas were classified. The biochemical leak rates were calculated as 26.8% and 37.5% in PJ and PG groups, respectively. The rates were 14.6% and 10% in PJ and PG groups, respectively, for grade B complications. Also, grade C complication rates were 9.75% and 115% in. PJ and PG groups, respectively. No statistically significant differences were detected between the two groups for postoperative complications. Conclusion: The evidence from this retrospective study suggests that there is no difference between the two types of pancreatic anastomosis techniques (PJ or PG) in terms of the rate of postoperative complications.
dc.identifier.doi10.5152/eurasianjmed.2021.20194
dc.identifier.endpage196
dc.identifier.issn1308-8742
dc.identifier.issue3
dc.identifier.pmid35110095
dc.identifier.scopus2-s2.0-85123003439
dc.identifier.scopusqualityQ3
dc.identifier.startpage192
dc.identifier.trdizinid476960
dc.identifier.urihttps://doi.org/10.5152/eurasianjmed.2021.20194
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/476960
dc.identifier.urihttps://hdl.handle.net/20.500.12418/27650
dc.identifier.volume53
dc.identifier.wosWOS:000716108900005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAves
dc.relation.ispartofEurasian Journal of Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPancreaticojejunostomy
dc.subjectpancreaticogastrostomy
dc.titleComparison of Two Pancreatic Anastomosis Techniques in terms of Postoperative Complications After Pancreaticoduodenectomy
dc.typeArticle

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