Effect of Blumgart anastomosis in reducing the incidence rate of pancreatic fistula after pancreatoduodenectomy

Table 2 Intraoperative and perioperative statuses

		Blumgart anastomosis	Embedded anastomosis	P-value
Intraoperative results, n (%)
No. of patients		201	90
Operation time, mean ± SEM, min		343.5 ± 23.0	450.0 ± 40.1	0.028
Blood loss, mean ± SE, mL		641.4 ± 65.9	866.7 ± 102	0.073
Blood transfusion, n (%)		76 (37.8)	44 (48.9)	0.077
Diameter of the pancreatic duct, mean ± SE, mm		5.50 ± 0.79	4.85 ± 0.15	0.687
Insertion of pancreatic duct stent, n (%)		96 (47.8)	33 (36.7)	0.079
Texture of the pancreas	Soft	33 (16.4)	15 (16.7)	0.958
	Tough	117 (58.2)	45 (50.0)	0.194
	Hard	51 (25.4)	30 (33.3)	0.163
Postoperative results, n (%)
Mortality		1 (0.5)	1 (1.1)	0.560
Reoperation		12 (6.0)	11 (12.2)	0.068
Overall complications (≥Clavien grade 3)		24 (11.9)	24 (26.7)	0.002
Duration of PJ drainage tube placement, mean ± SE, d		12.7 ± 0.9	17.4 ± 1.8	0.031
Postoperative pancreatic fistula	None	105 (52.2)	40 (44.4)	0.220
	Biochemical leak	77 (38.3)	31 (34.4)	0.530
	Grade B	16 (8.0)	14 (15.6)	0.049
	Grade C	3 (1.5)	5 (5.6)	0.050
Abdominal bleeding		14 (7.0)	11 (12.2)	0.140
Intraperitoneal infections		12 (6.0)	7 (7.8)	0.566
Biliary fistula		5 (2.5)	4 (4.4)	0.375
Delayed gastric emptying (≥ISGPS grade B)		34 (16.9)	20 (22.2)	0.284
Others		21 (10.5)	12 (13.3)	0.475
Postoperative hospitalization duration, mean ± SE, d		21.9 ± 1.3	28.9 ± 1.3	0.020

PJ: Pancreaticojejunostomy; ISGPS: International Study Group of Pancreatic Surgery. Others: Thromboembolism, aortic dissection, anastomotic fistula, etc.