Stapled gastro/duodenojejunostomy shortens reconstruction time during pylorus-preserving pancreaticoduodenectomy

Table 1 Patient characteristics in the stapled anastomosis group and hand-sewn anastomosis group

	Stapled anastomosis group	Hand-sewn anastomosis group	P value
Age (yr, mean ± SD)	67.2 ± 11.7	65.2 ± 11.2	0.59
Gender (M/F)	11/8	14/5	0.50
ASA
1	4	1
2	10	16
3	5	2	0.11
Comorbidities n (%)	8 (42)	8 (42)	1.00
Diabetes n (%)	5 (26)	6 (32)	1.00
Previous history of upper abdominal surgery	2 (11)	2 (11)	1.00
Preoperative albumin level (g/dL, mean ± SD)	3.96 ± 0.35	3.74 ± 0.44	0.10
Disease
Pancreatic cancer	6	4	0.08
Ampullary cancer	3	6
Lower bile duct cancer	2	2
Gallbladder cancer	1	0
IPMN	3	3
SCN	0	1
PNET	3	0
Duodenal GIST	0	1
Mass-forming pancreatitis	0	1
Others	1	1

ASA: American Society of Anesthesiologists; IPMN: Intraductal papillary mucinous neoplasms; SCN: Solid cystic neoplasms; PNET: Pancreatic neuroendocrine tumor; GIST: Gastrointestinal stromal tumor.

Table 2 Operative and postoperative outcomes in the stapled anastomosis group and hand-sewn anastomosis group

	Stapled anastomosis group	Hand-sewn anastomosis group	P value
Total operative time (min)	500 ± 68.3	530 ± 88	0.33
Reconstruction time (min)	186 ± 29.4	219.7 ± 50	0.02
Intraoperative blood loss (mL)	391 ± 212.3	647.1 ± 482.1	0.03
Duration of nasogastric tube insertion (d)	1.42 ± 1.22	1.3 ± 0.58	0.67
Resuming liquid oral intake (POD)	5.4 ± 1.7	11.3 ± 7.89	0.002
Starting solid diet (POD)	13.8 ± 8.56	17.7 ± 11.2	0.26
Postoperative complications	6 (31.6)	12 (63.2)	0.10
Delayed gastric emptying	1 (5.3)	3 (15.8)	0.60
Pancreatic anastomotic leakage/pancreatic fistula	1 (5.3)	3 (15.8)	0.60
Intraabdominal abscess	1 (5.3)	4 (21.1)	0.34
Postoperative hospital stay (d)	35.8 ± 12	39.4 ± 15.4	0.67

Values shown are mean ± SD or n (%).