Did Wrapping Falciform Ligament Pedicle Flap Around Pancreaticojejunostomy Reduce the Incidence of Pancreatic Fistula in Pancreaticoduodenectomy? Randomized Control Trial | ||||
| The Medical Journal of Cairo University | ||||
| Volume 91, Issue 03, March 2023, Page 381-387 PDF (277.99 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2023.307705 | ||||
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| Author | ||||
| AHMED F. EL-KHATIB, M.D.*; SAMEH A. ELPOHY, M.Sc.**; EHAB ABDULKARIM M. ABDULMAKSOUD, M.Sc.* and HAITHAM FEKRY OTHMAN, M.D.* | ||||
| The Department of Surgical Oncology*, National Cancer Institute, Cairo University and The Department of Oncosurgery**, Damietta Cancer Center, Damietta | ||||
| Abstract | ||||
| Abstract Background: Pancreatic leakage and secondary hemor-rhage are the most important source of morbidity and mortality after PD. After Blumgart anastomosis has reported a reduction in the rate of PF after PD, adjuvant use of the falciform ligament around PJ was introduced as an augmentation to PJ. Aim of Study: To evaluate the effectiveness of wrapping the PJ by falciform flapin reducing pancreatic fistula. Patients and Methods: This is a prospective2-center RCT that was carried out in the period from 2019 to 2021. It includes 50 patients that were randomized into 2 groups, PJ with falciform wrapping and PJ without falciform wrapping. All patients were compared regarding risk factors and post-operative complications. Results: The two groups were comparable regarding patients’, operative and pathological factors. The post-operative complications were less in the falciform group but without statistical significance. Conclusion: Wrapping the Blumgart PJ with a falciform flap can reduce pancreatic leak incidence and/or severity. | ||||
| Keywords | ||||
| Falciform; Wrapping; Leak; Hemorrhage | ||||
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