Single-loop versus double-loop reconstruction after pancreatoduodenectomy: Does it impact on the risk of postoperative pancreatic fistula? - PubMed
6 hours ago
- #Pancreaticoduodenectomy
- #Reconstruction
- #Pancreatic fistula
- Study compares single-loop (SL) and double-loop (DL) reconstruction after pancreatoduodenectomy (PD) regarding postoperative pancreatic fistula (POPF) risk.
- Retrospective multicenter study of 1,502 patients from 28 centers worldwide, using propensity score matching (PSM) for analysis.
- Overall POPF rate was 34.89%, with grade C POPF at 4.26%; no significant difference between SL and DL reconstruction.
- DL reconstruction associated with lower incidence of delayed gastric emptying (DGE) at 20.71%.
- Conclusion: No significant difference in POPF risk between SL and DL, but DL may reduce DGE risk, making it preferable after open PD.