Document Detail

The vascular stapler in uncinate process division during pancreaticoduodenectomy: technical considerations and results.
MedLine Citation:
PMID:  20571262     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Few studies describing the use of stapling devices for uncinate process division during pancreaticoduodenectomy (PD) have data regarding outcomes. Our aim is to discuss our technique and the peri-operative outcomes with the use of the linear vascular stapler for division of the uncinate process during PD.
MATERIALS AND METHODS: 19 consecutive patients who underwent stapler division of the uncinate process ('stapler' group) were compared to 20 consecutive patients operated without stapler ('no-stapler' group).
RESULTS: The overall surgical morbidity in the no-stapler group was 25% (5/20) and 31.6% (6/19) in the stapler group (p = 0.731). The mean blood loss in the no-stapler group was 1,077.5 +/- 594 ml compared to 778 +/- 302 ml in the stapler group (p = 0.113). The mean operative duration was 498 +/- 105 min in the no-stapler group and 490 +/- 60 min in the stapler group (p = 0.773). The average number of lymph nodes retrieved was 6.1 +/- 3 in the no-stapler group versus 5.9 +/- 4 in the stapler group (p = 0.627). Neither group had positive resection margins.
CONCLUSION: Stapler division of the uncinate process for selected periampullary tumours compares well with the conventional method, has comparable peri-operative outcomes without compromising oncological radicality and has the potential to simplify uncinate resection.
Melroy A D'souza; Kailash Singh; Rohini V Hawaldar; Parul J Shukla; Shailesh V Shrikhande
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-06-22
Journal Detail:
Title:  Digestive surgery     Volume:  27     ISSN:  1421-9883     ISO Abbreviation:  Dig Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-06     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501808     Medline TA:  Dig Surg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  175-81     Citation Subset:  IM    
Department of GI and HPB Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
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MeSH Terms
Blood Loss, Surgical / prevention & control
Middle Aged
Pancreas / surgery*
Pancreatic Neoplasms / surgery
Pancreaticoduodenectomy / methods*
Prospective Studies
Surgical Staplers*

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