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. 2014 Jun;26(3):277-84.
doi: 10.3978/j.issn.1000-9604.2014.06.05.

Internal compared with external drainage of pancreatic duct during pancreaticoduodenectomy: a retrospective study

Guangxing Meng  1 , Qianzhe Xing  1 , Qiang Yuan  1 , Zhi Du  1 , Yijun Wang  1 , Hua Meng  1
Affiliations

Internal compared with external drainage of pancreatic duct during pancreaticoduodenectomy: a retrospective study

Guangxing Meng et al. Chin J Cancer Res. 2014 Jun.

Abstract

Objective: To compare internal with external drainage of the pancreatic duct during pancreaticoduodenectomy with regard to the incidence of postoperative pancreatic fistula (POPF) and other complications.

Methods: We retrospectively analyzed 316 patients who underwent pancreaticoduodenectomy with a placed drainage tube (external, n=128; internal, n=188) in the pancreatic duct from 1 January 1999 to 31 December 2011 in Tianjin Third Central Hospital of China. The incidence of POPF and some other complications were compared.

Results: There was no difference in the incidence rates of POPF between those given an internal or external drainage tube (P=0.788), but POPF was more severe in the former (P=0.014). Intraperitoneal bleeding rate was also higher in the patients with internal drainage (P=0.040), but operative time and postoperative hospitalization were longer in those with external drainage (P=0.002 and P=0.007, respectively). There was no difference between the groups with regard to the incidence rates of gastrointestinal bleeding, delayed gastric emptying, pulmonary infection, or incision infection and in-hospital mortality.

Conclusions: External drainage of the pancreatic duct during pancreaticoduodenectomy can decrease the severity of POPF, but operative time and postoperative hospitalization will be extended.

Keywords: Pancreatic fistula; drainage; pancreatic duct; pancreaticoduodenectomy.

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