A comparison between modified Blumgart anastomosis and conventional Blumgart anastomosis in pancreaticoduodenectomy

Objective To evaluate modified Blumgart anastomosis and conventional Blumgart anastomosis in operation time, postoperative pancreatic fistula (POPF) and hospital stay in patients undergoing pancreaticoduodenectomy (PD). Methods The clinical date of 104 PD patients with Blumgart anastomosis in Tianjin Medical University Cancer Hospital from January 1, 2011 to January 1, 2015 were retrospectively divided into the modified group (42 cases) and the conventional group (62 cases) according to ways pancreaticojejunostomy was conducted. Results The average operation time of the modified group was 281±67 minutes, while for the traditional group was 300±80 minutes (t=-3.928, P>0.05). The incidence of postoperative grade B+ C pancreatic fistula in the modified Blumgart group was 16.7% and that was 16.1% in the conventional group (χ2=0.106, P>0.05). The mean postoperative hospital stay of modified group was 24 days, that for the traditional group was 23 days (t=1.263, P<0.05). Conclusions Modified Blumgart anastomosis using pancreatic duct stenting and fixation in place of traditional Blumgart pancreatic duct jejunum anastomosis is feasible, safe and effective during pancreaticoduodenectomy. Key words: Pancreaticoduodenectomy; Pancreaticojejunostomy