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

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dc.authoridsoyer, haci vural/0000-0003-4271-7467
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authorwosidsoyer, haci vural/KAM-0073-2024
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
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.accessioned2024-08-04T20:10:09Z
dc.date.available2024-08-04T20:10:09Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
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.en_US
dc.identifier.doi10.5152/eurasianjmed.2021.20194
dc.identifier.endpage196en_US
dc.identifier.issn1308-8742
dc.identifier.issue3en_US
dc.identifier.pmid35110095en_US
dc.identifier.scopus2-s2.0-85123003439en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage192en_US
dc.identifier.trdizinid476960en_US
dc.identifier.urihttps://doi.org/10.5152/eurasianjmed.2021.20194
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/476960
dc.identifier.urihttps://hdl.handle.net/11616/92622
dc.identifier.volume53en_US
dc.identifier.wosWOS:000716108900005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofEurasian Journal of Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPancreaticojejunostomyen_US
dc.subjectpancreaticogastrostomyen_US
dc.titleComparison of Two Pancreatic Anastomosis Techniques in terms of Postoperative Complications After Pancreaticoduodenectomyen_US
dc.typeArticleen_US

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