Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Oncol. May 24, 2022; 13(5): 366-375
Published online May 24, 2022. doi: 10.5306/wjco.v13.i5.366
Published online May 24, 2022. doi: 10.5306/wjco.v13.i5.366
Modified binding pancreaticogastrostomy vs modified Blumgart pancreaticojejunostomy after laparoscopic pancreaticoduodenectomy for pancreatic or periampullary tumors
Satyaprakash Ray Choudhury, Raja Kalayarasan, Senthil Gnanasekaran, Biju Pottakkat, Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India
Author contributions: Kalayarasan R conceptualized the study and performed the surgical procedures; Choudhury SR and Gnanasekaran S performed the data acquisition and wrote the first draft of the manuscript; Kalayarasan R and Pottakkat B supervised the writing, gave intellectual inputs, and critically revised the manuscript.
Institutional review board statement: The study was approved by the Institute scientific advisory committee (PGRMC 19.04.2021-18) and the Institute ethics committee (JIP/IEC/2021/0194).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent. For full disclosure, the details of the study are published on the home page of JIPMER (http://www.jipmer.edu.in study ID - JIP/IEC/2021/0194).
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Raja Kalayarasan, MBBS, MCh, MS, Additional Professor, Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Room No. 5442, 4th Floor, Super Specialty Block, Puducherry 605006, India. kalayarasanraja@yahoo.com
Received: January 18, 2022
Peer-review started: January 18, 2022
First decision: February 15, 2022
Revised: February 28, 2022
Accepted: May 7, 2022
Article in press: May 7, 2022
Published online: May 24, 2022
Peer-review started: January 18, 2022
First decision: February 15, 2022
Revised: February 28, 2022
Accepted: May 7, 2022
Article in press: May 7, 2022
Published online: May 24, 2022
Core Tip
Core Tip: During the learning curve of laparoscopic pancreaticoduodenectomy, modified binding pancreaticogastrostomy reduces the operative time for pancreatic reconstruction. Also, modified binding pancreaticogastrostomy reduces clinically relevant postoperative pancreatic fistula compared to modified Blumgart pancreaticojejunostomy. However, modified binding pancreaticogastrostomy is associated with increased intraluminal postpancreatectomy hemorrhage. The present study results could guide surgeons to tailor the pancreatic reconstruction during the learning curve of laparoscopic pancreaticoduodenectomy.