Digestive Surgery
How I Do It
The Vascular Stapler in Uncinate Process Division during Pancreaticoduodenectomy: Technical Considerations and ResultsD’souza M.A.a · Singh K.a · Hawaldar R.V.b · Shukla P.J.a · Shrikhande S.V.aaDepartment of GI and HPB Surgical Oncology, and bClinical Research Secretariat, Tata Memorial Hospital, Mumbai, India
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Article / Publication Details
Published online: June 22, 2010
Issue release date: August 2010
Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 2
ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)
For additional information: https://www.karger.com/DSU
Abstract
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.
© 2010 S. Karger AG, Basel
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Article / Publication Details
Published online: June 22, 2010
Issue release date: August 2010
Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 2
ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)
For additional information: https://www.karger.com/DSU
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