![]() MATERIALS AND METHODSįrom January 2010 to May 2016, twenty-two (n=22) patients underwent pancreatoduodenectomy (PDE) in our department. In our prospective consecutive case series study we compare the frequency of pancreatic fistula formation between patients undergone omental roll up of the pancreatojejunostomy and the ones who have not. Quite recently in 2014 a meta-analysis and systematic review of the literature, concluded that there is no clear evidence that omental wrapping can prevent pancreatic fistulas after WP. ![]() The three most common complications following a WP are the formation of pancreatic fistula ranging from 5% to 53%, delayed gastric empting with a 25% rate as well as postoperative bleeding ranging from 1% to 10%.įew studies have been published describing the benefits of wrapping the omentum around the anastomosis. Because of improvements in the surgical technique and perioperative care its mortality has fallen dramatically to 5%. Despite the evolution in surgery the morbidity rates remain high, ranging from 30% to 65%. It is currently performed at specialized centers and carries a mortality of less than 5%. Pancreaticoduedenectomy (PDE) or Whipple procedure (WP) remains the procedure of choice and the only therapeutic option that obtains long survival in pancreatic-head cancer. PDE Pancreaticoduodenectomy PF Pancreatic fistula, POD Post operative day WP Whipple procedure INTRODUCTION Omental flap, Roll up, Pancreatic cancer, fistula, Whipple procedure Abbreviations However, more randomized controlled studies are needed. Conclusions Wrapping of the omentum is in favor of benefit the reduction of pancreatic fistula after pancreaticoduodenectomes. Moreover, one patient from each group presented with postoperative bleeding. Results Four patients from Group A developed pancreatic fistula in comparison with two patients from Group B who underwent PDE with the roll up technique. The pancreatic fistula were detected by measuring the amylase levels from the abdominal drain fluid on the 2nd and 4th postoperative day. A prospective consecutive case series was conducted. The perioperative as well as the postoperative outcome were compared. The first group (n=7) underwent PDE without using the omental flap technique and the second group (n=15), underwent PDE using the omental roll-up technique. The patients were divided into two groups. Methods Twenty-two patients underwent pancreatoduodenectomy in our department within six years. ![]() ![]() In our prospective consecutive case series study we compare the frequency of pancreatic fistula formation between patients who underwent omental roll up of the pancreatojejunostomy and the ones who have not. Few studies have been published describing the benefits of wrapping the omentum around the anastomosis. Objectives Pancreaticoduedenectomy or Whipple procedure remains the procedure of choice that obtains long survival in pancreatic-head cancer. ![]()
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