International Journal of Cancer Management

Published by: Kowsar
Crossmark

Outcomes and Complications of Double Roux Loop Reconstruction in Pancreaticoduodenectomy: A Single Center Experience

Abolfazl Afsharfard 1 , Barmak Gholizadeh ORCID 2 , ** , Behzad Azimi 2 , Mohammad Amin Shahrbaf 2 and Adel Zeinalpour ORCID 2 , *
Authors Information
1 Department of General and Vascular Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of General Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Corresponding Authors:
Article information
  • International Journal of Cancer Management: June 30, 2019, 12 (6); e91388
  • Published Online: June 18, 2019
  • Article Type: Research Article
  • Received: March 9, 2019
  • Revised: May 23, 2019
  • Accepted: May 26, 2019
  • DOI: 10.5812/ijcm.91388

To Cite: Afsharfard A, Gholizadeh B, Azimi B, Shahrbaf M A, Zeinalpour A. Outcomes and Complications of Double Roux Loop Reconstruction in Pancreaticoduodenectomy: A Single Center Experience, Int J Cancer Manag. 2019 ; 12(6):e91388. doi: 10.5812/ijcm.91388.

Abstract
Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
Acknowledgements
Footnotes
References
  • 1. Kausch W. [Das carcinom der papilla duodeni und seine radikale entfernung]. Beitr Klin Chir. 1912;78:439-86. German.
  • 2. Schnelldorfer T, Sarr MG. Alessandro Codivilla and the first pancreatoduodenectomy. Arch Surg. 2009;144(12):1179-84. doi: 10.1001/archsurg.2009.219. [PubMed: 20026839].
  • 3. Pedziwiatr M, Malczak P, Mizera M, Witowski J, Torbicz G, Major P, et al. Pancreatoduodenectomy for pancreatic head tumors in the elderly - Systematic review and meta-analysis. Surg Oncol. 2018;27(3):346-64. doi: 10.1016/j.suronc.2018.05.021. [PubMed: 30217288].
  • 4. Giuliano K, Ejaz A, He J. Technical aspects of pancreaticoduodenectomy and their outcomes. Chin Clin Oncol. 2017;6(6):64. doi: 10.21037/cco.2017.09.01. [PubMed: 29156887].
  • 5. Kim CB, Ahmed S, Hsueh EC. Current surgical management of pancreatic cancer. J Gastrointest Oncol. 2011;2(3):126-35.
  • 6. Hartwig W, Werner J, Jager D, Debus J, Buchler MW. Improvement of surgical results for pancreatic cancer. Lancet Oncol. 2013;14(11):e476-85. doi: 10.1016/S1470-2045(13)70172-4. [PubMed: 24079875].
  • 7. Harnoss JC, Ulrich AB, Harnoss JM, Diener MK, Buchler MW, Welsch T. Use and results of consensus definitions in pancreatic surgery: A systematic review. Surgery. 2014;155(1):47-57. doi: 10.1016/j.surg.2013.05.035. [PubMed: 24694359].
  • 8. Crist DW, Sitzmann JV, Cameron JL. Improved hospital morbidity, mortality, and survival after the Whipple procedure. Ann Surg. 1987;206(3):358-65. doi: 10.1097/00000658-198709000-00014. [PubMed: 3632096]. [PubMed Central: PMC1493175].
  • 9. Klaiber U, Probst P, Knebel P, Contin P, Diener MK, Buchler MW, et al. Meta-analysis of complication rates for single-loop versus dual-loop (Roux-en-Y) with isolated pancreaticojejunostomy reconstruction after pancreaticoduodenectomy. Br J Surg. 2015;102(4):331-40. doi: 10.1002/bjs.9703. [PubMed: 25644428].
  • 10. Nahm CB, Connor SJ, Samra JS, Mittal A. Postoperative pancreatic fistula: a review of traditional and emerging concepts. Clin Exp Gastroenterol. 2018;11:105-18. doi: 10.2147/CEG.S120217. [PubMed: 29588609]. [PubMed Central: PMC5858541].
  • 11. Hackert T, Werner J, Buchler MW. Postoperative pancreatic fistula. Surgeon. 2011;9(4):211-7. doi: 10.1016/j.surge.2010.10.011. [PubMed: 21672661].
  • 12. Pratt WB, Maithel SK, Vanounou T, Huang ZS, Callery MP, Vollmer CM Jr. Clinical and economic validation of the International Study Group of Pancreatic Fistula (ISGPF) classification scheme. Ann Surg. 2007;245(3):443-51. doi: 10.1097/01.sla.0000251708.70219.d2. [PubMed: 17435552]. [PubMed Central: PMC1877022].
  • 13. Uzunoglu FG, Reeh M, Wollstein R, Melling N, Perez D, Vashist YK, et al. Single versus double Roux-en-Y reconstruction techniques in pancreaticoduodenectomy: A comparative single-center study. World J Surg. 2014;38(12):3228-34. doi: 10.1007/s00268-014-2742-5. [PubMed: 25189443].
  • 14. Kingsnorth AN. Safety and function of isolated Roux loop pancreaticojejunostomy after Whipple's pancreaticoduodenectomy. Ann R Coll Surg Engl. 1994;76(3):175-9. [PubMed: 7912489]. [PubMed Central: PMC2502310].
  • 15. Albertson DA. Pancreaticoduodenectomy with reconstruction by Roux-en-Y pancreaticojejunostomy: No operative mortality in a series of 25 cases. South Med J. 1994;87(2):197-201. [PubMed: 8115883].
  • 16. Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, et al. Postoperative pancreatic fistula: An international study group (ISGPF) definition. Surgery. 2005;138(1):8-13. doi: 10.1016/j.surg.2005.05.001. [PubMed: 16003309].
  • 17. de Castro SM, Kuhlmann KF, Busch OR, van Delden OM, Lameris JS, van Gulik TM, et al. Incidence and management of biliary leakage after hepaticojejunostomy. J Gastrointest Surg. 2005;9(8):1163-71. discussion 1171-3. doi: 10.1016/j.gassur.2005.08.010. [PubMed: 16269388].
  • 18. Tani M, Kawai M, Hirono S, Okada KI, Miyazawa M, Shimizu A, et al. Randomized clinical trial of isolated Roux-en-Y versus conventional reconstruction after pancreaticoduodenectomy. Br J Surg. 2014;101(9):1084-91. doi: 10.1002/bjs.9544. [PubMed: 24975853].
  • 19. Yeo CJ, Cameron JL, Lillemoe KD, Sauter PK, Coleman J, Sohn TA, et al. Does prophylactic octreotide decrease the rates of pancreatic fistula and other complications after pancreaticoduodenectomy? Results of a prospective randomized placebo-controlled trial. Ann Surg. 2000;232(3):419-29. doi: 10.1097/00000658-200009000-00014. [PubMed: 10973392]. [PubMed Central: PMC1421155].
  • 20. Nakamura T, Okada A, Higaki J, Tojo H, Okamoto M. Pancreaticobiliary maljunction-associated pancreatitis: An experimental study on the activation of pancreatic phospholipase A2. World J Surg. 1996;20(5):543-50. [PubMed: 8661628].
  • 21. Pescio G, Cariati E. A new reconstructive method after pancreaticoduodenectomy: The triple Roux on a "P" loop. Rationale and radionuclide scanning evaluation. HPB Surg. 1996;9(4):223-7. doi: 10.1155/1996/53812. [PubMed: 8809583]. [PubMed Central: PMC2443773].
  • 22. Limongelli P, D'Alessandro A, Parisi S, Pirozzi R, Bondanese M, Colella C, et al. Double loop reconstruction following pancreaticoduodenectomy for malignant tumor: Short-term outcome. Int J Surg Case Rep. 2016;20S:16-20. doi: 10.1016/j.ijscr.2016.02.002. [PubMed: 26872635]. [PubMed Central: PMC4883052].
  • 23. Grobmyer SR, Hollenbeck ST, Jaques DP, Jarnagin WR, DeMatteo R, Coit DG, et al. Roux-en-Y reconstruction after pancreaticoduodenectomy. Arch Surg. 2008;143(12):1184-8. doi: 10.1001/archsurg.2008.501. [PubMed: 19075170].
  • 24. Ke S, Ding XM, Gao J, Zhao AM, Deng GY, Ma RL, et al. A prospective, randomized trial of Roux-en-Y reconstruction with isolated pancreatic drainage versus conventional loop reconstruction after pancreaticoduodenectomy. Surgery. 2013;153(6):743-52. doi: 10.1016/j.surg.2013.02.008. [PubMed: 23601899].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments