Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 28, 2019; 25(20): 2514-2523
Published online May 28, 2019. doi: 10.3748/wjg.v25.i20.2514
Published online May 28, 2019. doi: 10.3748/wjg.v25.i20.2514
Effect of Blumgart anastomosis in reducing the incidence rate of pancreatic fistula after pancreatoduodenectomy
Ya-Tong Li, Han-Yu Zhang, Cheng Xing, Cheng Ding, Wen-Ming Wu, Quan Liao, Tai-Ping Zhang, Yu-Pei Zhao, Meng-Hua Dai, Department of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China
Author contributions: Li YT and Zhang HY are co-first authors of this article; Li YT wrote the paper; Li YT, Zhang HY, Xing C, and Ding C collected and analyzed the data; Wu WM, Liao Q, Zhang TP, Zhao YP, and Dai MH operated the surgeries; Dai MH guided the study.
Institutional review board statement: The study was reviewed and approved by the Peking Union Medical College Hospital Institutional Review Board.
Informed consent statement: All the patients involved in our study gave written informed consent.
Conflict-of-interest statement: The authors disclose that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Meng-Hua Dai, MD, Doctor, Professor, Department of General Surgery, Peking Union Medical College Hospital, No. 1, Shuai Fu Yuan, Dongcheng District, Beijing 100730, China. daimh@pumch.cn
Telephone: +86-10-6915-2600 Fax: +86-10-6915-6021
Received: March 14, 2019
Peer-review started: March 14, 2019
First decision: April 4, 2019
Revised: May 2, 2019
Accepted: May 8, 2019
Article in press: May 8, 2019
Published online: May 28, 2019
Peer-review started: March 14, 2019
First decision: April 4, 2019
Revised: May 2, 2019
Accepted: May 8, 2019
Article in press: May 8, 2019
Published online: May 28, 2019
Core Tip
Core tip: In this study, we made a retrospective analysis of Blumgart anastomosis and traditional embedded pancreaticojejunostomy in pancreatoduodenectomy, and confirmed the benefits of Blumgart anastomosis in the aspects of intraoperative and post-operative courses, especially in reducing the incidence rate of postoperative pancreatic fistula, as well as its non-inferiority features in the long-term statuses. Surgical method should be a key factor in reducing postoperative pancreatic fistula. It should have been added into the calculator of pancreatic fistula, and Blumgart anastomosis needs further promotion.