The Journal of Medical Investigation
Online ISSN : 1349-6867
Print ISSN : 1343-1420
ISSN-L : 1343-1420
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No-touch pylorus-resecting pancreatoduodenectomy can reduce postoperative complications even in low volume center
Hitomi Kamo, Seiki Tashiro, Kazuo Yoshioka, Yuko Sumise, Natsu Okitsu, Yukari Harino, Takeshi Yamaguchi, Shizuo Ikeyama, Akemi Yamanaka
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Keywords: No-touch pylorus-resecting pancreatoduodenectomy (PrPD), antecolic gastrojejunostomy, lost stent tube, early removal of drainage tube
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2015 Volume 62 Issue 3.4 Pages 188-194

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Abstract

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. J. Med. Invest. 62: 188-194, August, 2015

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© 2015 by The University of Tokushima Faculty of Medicine
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