Use of isolated Roux loop for pancreaticojejunostomy reconstruction after pancreaticoduodenectomy

Table 1 Demographic characteristics of the patients and type of operation for the two different groups

	Single loop group (SL)	Isolated Roux loop group (RL)	Total
Patients (n)	42	46	88
Age	60.9 ± 11.5	64.4 ± 9.5	62.7 ± 10.5
Gender
Men/women	23/19	29/17	52/36
Type of operation
Standard Whipple	25	38	63
Traverso-Longmire	17	8	25

Table 2 Major and minor complications in both groups n (%)

	Single loop group (SL)	Isolated Roux loop group (RL)	P
	n = 42	n = 46
Major complications
PJ anastomosis failure	3 (7.1)	2 (4.3)	NS
Hemorrhage	1 (2.3)	1 (2.2)	NS
Minor complications
Wound infection	2 (4.8)	3 (6.5)
Pulmonary infection	2 (4.8)	4 (8.7)
Delayed gastric emptying	4 (9.5)	7 (15.2)
Subhepatic fluid collection	-	1 (2.2)
Cardiac failure	1 (2.3)	-
Morbidity	13 (30.9)	18 (39.1)	NS
Mortality	1 (2.3)	1 (2.2)	NS
Operative time (min)	338.8 ± 52.7	366.1 ± 60.1	< 0.05
Hospital stay (d)	19.5 ± 10.1	14.6 ± 5.5	NS

PJ: Pancreaticojejunal; NS: Non-significant.

Table 3 Roux-en-Y pancreaticojejunostomy results from various studies

Series	Study type	Patients (total)	Fistulae (%)	Mortality related to fistula (%)	Overall mortality (%)	Hospital stay (d)
Machado et al[5]	CS	15	2 (13.3)	0	0	20.0
Funovics et al[20]	CS	48	9 (18.7)	0	3 (6.2)	NA
Kingsnorth et al[22]	CS	52	0	0	3 (5.8)	18.4
Albertson et al[23]	CS	25	0	0	0	12.2
Meyer et al[24]	CS	35	2 (5.7)	0	4 (11.4)	NA
Papadimitriou et al[21]	CS	109	0	0	1 (0.9)	7.6
Khan et al[24]	CS	41	0	0	1 (2.4)	19.6
Sutton et al[25]	CS	61	0	0	3 (5)	16.0
Jover et al[27]	CS	80	16 (20)	3 (60)	5 (6.6)	20.6
Kaman et al[28]	RC	60 (111)	6 (10)	2 (33.3)	5 (8.3)	17.75

NA: Not available; CS: Case series; RC: Retrospective comparative.