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首页> 外文期刊>Anticancer Research: International Journal of Cancer Research and Treatment >Surgical Loupes at 5.0x Magnification and the VIO Soft-coagulation System Can Prevent Postoperative Pancreatic Fistula in Duct-to-Mucosa Pancreaticojejunostomy
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Surgical Loupes at 5.0x Magnification and the VIO Soft-coagulation System Can Prevent Postoperative Pancreatic Fistula in Duct-to-Mucosa Pancreaticojejunostomy

机译：放大倍数为5.0的手术放大镜和VIO软凝系统可以预防导管至粘膜胰空肠造口术中的术后胰瘘

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Background/Aim: Postoperative pancreatic fistula (POPE) remains a major complication after pancreaticoduodenectomy (PD). In this study, we examined whether our new method using surgical loupes at 5.0x magnification and the VIO soft coagulation system (SC) for duct-to-mucosa pancreaticojejunostomy (PJ) can prevent POPE Patients and Methods: A retrospective cohort study was performed in 81 consecutive patients who underwent PD and duct-to-mucosa PJ for periampullary tumors by a single surgeon during a recent 5-year period from 2008 to 2012. These patients were divided into two groups according to the nature of the Pi; the conventional group (n=46) and the 5.0x loupes+SC group (n=35). Short-term surgical results including POPF were compared and an independent risk factor for POPE was identified using the stepwise logistic regression analysis in our series. Results: The rate of Grade B/C POPF was significantly decreased in the 5.0x loupes+SC group (2.9%) compared to that of the conventional group (9.9%, p=0.04). The absence of 5.0x loupes+SC for PJ was identified as the independent risk factor for Grade B/C POPF (odds ratio. 5.23; p-value, 0.03). Conclusion: 5.0x surgical loupes+SC for duct-to-mucosa PJ could be used as a novel technique for preventing POPF after PD.
机译：背景/目的：胰十二指肠切除术（PD）术后胰瘘（POPE）仍然是主要并发症。在这项研究中，我们研究了使用5.0倍手术放大镜和VIO软凝系统（SC）进行导管-粘膜胰空肠吻合术（PJ）的新方法是否可以预防POPE患者和方法：在2011年进行了一项回顾性队列研究在2008年至2012年的最近5年中，连续有81位患者由一名外科医生进行了壶腹周围肿瘤的PD和导管至粘膜PJ手术。根据Pi的性质，将这些患者分为两组;常规组（n = 46）和5.0倍放大镜+ SC组（n = 35）。比较了包括POPF在内的短期外科手术结果，并使用我们系列中的逐步logistic回归分析确定了POPE的独立危险因素。结果：5.0x放大镜+ SC组的B / C POPF等级比率（2.9％）比常规组（9.9％，p = 0.04）显着降低。 PJ不存在5.0倍放大镜+ SC被确定为B / C级POPF的独立危险因素（优势比为5.23; p值为0.03）。结论：5.0倍手术放大镜+ SC治疗导管粘膜PJ可作为预防PD后POPF的新技术。

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