@article{CJCR4016,
author = {Guangxing Meng and Qianzhe Xing and Qiang Yuan and Zhi Du and Yijun Wang and Hua Meng},
title = {Internal compared with external drainage of pancreatic duct during pancreaticoduodenectomy: a retrospective study},
journal = {Chinese Journal of Cancer Research},
volume = {26},
number = {3},
year = {2014},
keywords = {},
abstract = {Objective: To compare internal with external drainage of the pancreatic duct during pancreaticoduodenectomy with regard to the incidence of postoperative pancreatic fistula (POPF) and other complications.
Methods: We retrospectively analyzed 316 patients who underwent pancreaticoduodenectomy with a placed drainage tube (external, n=128; internal, n=188) in the pancreatic duct from 1 January 1999 to 31 December 2011 in Tianjin Third Central Hospital of China. The incidence of POPF and some other complications were compared.
Results: There was no difference in the incidence rates of POPF between those given an internal or external drainage tube (P=0.788), but POPF was more severe in the former (P=0.014). Intraperitoneal bleeding rate was also higher in the patients with internal drainage (P=0.040), but operative time and postoperative hospitalization were longer in those with external drainage (P=0.002 and P=0.007, respectively). There was no difference between the groups with regard to the incidence rates of gastrointestinal bleeding, delayed gastric emptying, pulmonary infection, or incision infection and in-hospital mortality.
Conclusions: External drainage of the pancreatic duct during pancreaticoduodenectomy can decrease the severity of POPF, but operative time and postoperative hospitalization will be extended.},
issn = {1993-0631}, url = {https://cjcr.amegroups.org/article/view/4016}
}