Pancreatic isthmus intersection with preliminary suturing of arteries in this area

Tarasenko S.V.; Natalskiy A.A.; Tarakanov P.V.; Peskov O.D.

doi:https://doi.org/10.17116/hirurgia202111112

Tarasenko S.V.

Sechenov First Moscow State Medical University

Natalskiy A.A.

Ryazan State Medical University

Tarakanov P.V.

Ryazan State Medical University

Peskov O.D.

Ryazan State Medical University

Pancreatic isthmus intersection with preliminary suturing of arteries in this area

Authors:

Tarasenko S.V., Natalskiy A.A., Tarakanov P.V., Peskov O.D.

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Journal: Pirogov Russian Journal of Surgery. 2021;(11): 12‑18

DOI: 10.17116/hirurgia202111112

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To cite this article:

Tarasenko SV, Natalskiy AA, Tarakanov PV, Peskov OD. Pancreatic isthmus intersection with preliminary suturing of arteries in this area. Pirogov Russian Journal of Surgery. 2021;(11):12‑18. (In Russ.)
https://doi.org/10.17116/hirurgia202111112

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the early results of pancreatoduodenectomies with different methods of pancreatic isthmus transection.

MATERIAL AND METHODS

There were 82 pancreatoduodenectomies for cancer of pancreatic head or major duodenal papilla for the period 2010—2019. The control group comprised 38 patients with pancreatic isthmus transection and no preliminary suturing of local vessels. The study group consisted of 44 patients who underwent preliminary intersection of pancreatic isthmus vessels. Inclusion/exclusion criteria were used for grouping. We evaluated total intraoperative blood loss and blood loss following pancreatic isthmus transection, incidence and structure of postoperative complications.

RESULTS

Total intraoperative blood loss was 755.12±108.61 vs. 698.45±92.87 ml, respectively (p>0.05). Intraoperative blood loss following pancreatic isthmus transection was 48.21±9.11 vs. 7.83±1.72 ml, respectively (p<0.01). Incidence of postoperative complications and redo surgeries was similar. Postoperative bleeding occurred in 5 (13.15%) patients of the 1^st group (class A — 2.63%; B — 5.26%; C — 5.26%) and 2 (4.54%) patients of the 2^nd group (A — 4.54%; B and C — 0%). There were no significant differences in the incidence of other complications and postoperative mortality.

CONCLUSION

Pre-stitching of arterial vessels of the pancreatic isthmus reduces blood loss following intersection (p<0.01), as well as the incidence of postoperative bleeding class B and C (p<0.05).

Keywords:

pancreas

isthmus

pancreatoduodenectomy

blood loss

bleeding

Authors:

Tarasenko S.V.

Sechenov First Moscow State Medical University

Natalskiy A.A.

Ryazan State Medical University

Tarakanov P.V.

Ryazan State Medical University

Peskov O.D.

Ryazan State Medical University

Received:

23.12.2020

Accepted:

10.02.2021

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References:

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