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| 1 | Matched-pair analysis of postoperative morbidity and mortality for pancreaticogastrostomy and pancreaticojejunostomy using mattress sutures in soft pancreatic tissue remnants显示文摘BACKGROUND:After pancreaticoduodenectomy,the incidence of postoperative pancreatic fistula remains high,especially in patients with 'soft' pancreatic tissue remnants.No 'gold standard' surgical technique for pancreaticoenteric anastomosis has been established.This study aimed to compare the postoperative morbidity and mortality of pancreaticogastrostomy and pancreaticojejunostomy for 'soft' pancreatic tissue remnants using modified mattress sutures.METHODS:Seventy-five patients who had undergone pancreaticogastrostomy and 75 who had undergone pancreaticojejunostomy after pancreaticoduodenectomy between 2002 and 2008 were retrospectively compared using matched-pair analysis.A modified mattress suture technique was used for the pancreaticoenteric anastomosis.Patients with an underlying 'hard' pancreatic tissue remnant,as in chronic pancreatitis,were excluded.Both groups were homogeneous for age,gender,and underlying disease.Postoperative morbidity,mortality,and preoperative and operative data were analyzed.RESULTS:There were no significant differences between the groups for the incidence of postoperative pancreatic fistula (10.7% in both).Postoperative morbidity and mortality,median operation time,median length of hospital stay,intraoperative blood loss,and the amount of intraoperatively transfused erythrocyte concentrates also did not significantly differ between the groups.Patient age >65 years (P=0.017),operation time >350minutes (P=0.001),and intraoperative transfusion of erythrocyte concentrates (P=0.038) were identified as risk factors for postoperative morbidity.CONCLUSIONS:Our results showed no significant differences between the groups in the pancreaticogastrostomy and pancreaticojejunostomy anastomosis techniques using mattress sutures for 'soft' pancreatic tissue remnants.In our experience,the mattress sutures are safe and simple to use,and pancreaticogastrostomy in particular is feasible and easy to learn,with good endoscopic accessibility to the anastomosis region.However,the location of the anastomosis and the surgical technique need to be individually evaluated to further reduce the incidence of postoperative pancreatic fistula. | Fritz Klein Marcus Bahra Matthias Glanemann Wladimir Faber Peter Warnick Andreas Andreou Safak Gül Dietmar Jacob | 2012 | Hepatobiliary & Pancreatic Diseases International2012，11，1： | 9 |
| 2 | Competence and determination in the process of in vitro shoot organogenesis 显示文摘 | Christianson M L Warnick D A | 1983 | Dev Biol1983，95，： | 1 |
| 3 | Temporal requirment for phytohormone balance in the control of organogenesis in vitro 显示文摘 | Christianson M L Warnick D A | 1985 | Dev Biol1985，112，： | 1 |
| 4 | Direct ade novirus-mediated IGF-1 gene transduction of synovium induces persisting synovial fluid IGF-1 ligand elevations 显示文摘 | Goodrich L R Brower-Toland B D Warnick L | 2006 | Gene Ther2006，13，： | 1 |
| 5 | Left ventricular thrombus enhancement after intravenous injection of echogenic immunoliposomes: studies in a new experimental model显示文摘 | Hamilton A Huang S L Warnick D | 2002 | Circulation2002，105，23： | 1 |
| 6 | Impact of the third cholesterol report from the Adult Treatment Panel of the National Cholesterol Education Program on the clinical laboratory显示文摘 | Myers G L Cooper G R | 2002 | Clin Chem2002，48，1： | 1 |
| 7 | Acid rain: Science and policy making显示文摘 | WINSTANLEY D LACKEY R T WARNICK W L | 1998 | Environmental Science & Policy1998，1，： | 1 |
| 8 | Changes in tetracycline susceptibility of enteric bacteria following switching to nonmedicated milk replacer for dairy calves 显示文摘 | Kaneene J B Warnick L D Bolin C A | 2008 | J Clin Microbiol2008，46，6： | 1 |
| 9 | A morpho~genetically competent soybean suspension culture 显示文摘 | Christianson M L Warnick D A and Carlson P S | 1983 | Science1983，222，： | 1 |
| 10 | Acid rain:science and policy making显示文摘 | WINSTANLEY D LACKEY R T WARNICK W L | 1998 | Environmental Science & Policy1998，1，： | 1 |
| 11 | Cross-sectional study of the association of abomasal displacement or volvulus with serum electrolyte and mineral concentrations in dairy cows 显示文摘 | Delgado L R Warnick L D Guard C L Smith M C Barry D A | 2000 | Canadian-Veterinary-Journal2000，41，： | 1 |
| 12 | In vitro evidence that metabolic cooperation is responsible for the bystander effect observed with HSVtk retroviral gene therapy 显示文摘 | Bi W L Parysek L M Warnick R | 1993 | Hum Gene Ther1993，4，： | 1 |
| 13 | A mopho-genetically competent soybean suspension culture显示文摘 | Christianson M L Warnick D A Carlson P S | 1983 | Sci-ence1983，222，： | 1 |
| 14 | Effect of lameness on culling in dairy cows显示文摘 | Booth C J Warnick L D Grohn Y T | 2004 | Journal of Dairy Science2004，87，12： | 1 |
| 15 | In vitro evidence that metabolic cooperation is responsible for the bystander effect observed with HSV tk retroviral gene therapy显示文摘 | Bi W L Parysek L M Warnick R | 1993 | Human Gene Therapy1993，4，6： | 1 |
| 16 | In vitro evidence that metabolic cooperation is responsible for the bystander effect observed with HSV tk retroviral gene therapy显示文摘 | Bi W L Parysek L M Warnick R | 1993 | Human Gene Therapy1993，4，6： | 1 |
| 17 | The acute toxicity of some heavy metals to different species of aquatic insects 显示文摘 | WARNICK S L BELL H L | 1969 | Water Pollut Control Fed1969，41，2： | 1 |
| 18 | Antimicrobial resist ance in nontyphoidal Salmonella显示文摘 | Alcaine S D Warnick L D Wiedmann M | 2007 | J Food Prot2007，70，3： | 1 |
| 19 | Genetic analysis of clinical lameness in dairy cattle显示文摘 | Boettcher P J Dekkers J C Warnick L D | 1998 | Dairy Science1998，81，： | 1 |
| 20 | Inferring repeated - game strategies from actions: Evidence from trust game experiments 显示文摘 | WARNICK J E R L SLONIM | 2006 | Journal Economic Theory2006，28，3： | 1 |
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