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| 1 | Comparison of Wirsung-jejunal duct-tomucosa and dunking technique for pancreatojejunostomy after pancreatoduodenectomy显示文摘Pancreato-enteric reconstruction after pancreatoduodenectomy (PD) is still a source of debate because of the high incidence of complications. Among the various types of pancreato-jejunostomies we don’t know yet which is the best in terms of anastomotic failure and related complications rates. Wirsung-jejunal duct-to-mucosa anastomosis (WJ) and 'dunking' pancreato-jejunal anastomosis (DPJ) are the two most used ones worldwide but conflicting results are reported. To determine which is the safer anastomosis and to define when an anastomosis should be preferred, we retrospectively reviewed two groups of patients who underwent WJ or DPJ. METHODS:Twenty-three patients underwent PD with WJ (n=17) with dilated (WJD) (n=9) or not-dilated Wirsung’s duct (WJND) (n=8) or with a DPJ (n=6) over a 3-year period at a single institution. RESULTS: The complications rate was high in all groups of patients (33.3% in WJD, 37.5% in WJND and 66.7% in DPJ). A pancreatic fistula developed in one patient in each group (11. 1% in WJD, 12. 5% in WJND and 16. 7% in DPJ). All these patients were managed conservatively. Anastomotic disruption took place in the WJ patients especially in the WJND group (n=2) compared to the WJD (n=1) (25% vs 11.1%) or DPJ groups (0%) : these three patients required a re-operation. Overall, the anastomotic defects were higher in patients who underwent WJND (37.5%), compared to WJD (22.2%) and to DPJ (16.7%). However, no statistical differences were found among the groups. Delayed gastric emptying (DGE) and total parenteral nutrition (TPN) along with anastomotic defects were responsible for a prolonged hospital stay. CONCLUSIONS:Our results were not able to demonstrate any statistical difference between the two different techniques in preventing anastomotic failure. WJ can represent a valid choice in case of a dilated duct and a firm, fibrotic enlarged gland that could not be properly invaginated in a small jejunal loop. DGE may occur in those patients who experienced an anastomotic failure and required a TPN regimen with a prolonged hospital stay. | Unita di Chirurgia, Dipartimento di Fisiopatologia Clinica (Batignani G, Fratini G, Zuckermann M and Tonelli F) and Dipartimento di Statistica (Bianchini E), Universitd degli Studi di Firenze, Flo rence, Italy | 2005 | Hepatobiliary & Pancreatic Diseases International2005，4，3： | 9 |
| 2 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines-Part 1 : emulsion production显示文摘 | Chiaramomi D Bonini M Fratini E et ai | 2003 | Biomass and Bienergy2003，25，1： | 1 |
| 3 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines--Part 1: Emulsion production显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bienergy2003，，25： | 1 |
| 4 | On the influence of tool path in friction stir spot welding of aluminum alloys显示文摘 | Buffa G Fratini L Piacentini M | 2008 | Journal of Materials Processing Technology2008，208，13： | 1 |
| 5 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines-Part 2 : tests in diesel engines显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bienergy2003，25，1： | 1 |
| 6 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines--Part 2: Tests in diesel engines显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass andBienergy2003，，25： | 1 |
| 7 | Development of emulsions from biomass pyrolysis liquid and diesel'and their use in engines-Part 1: emulsion production显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Bio- mass and Bioenergy2003，25，1： | 1 |
| 8 | Volatile profile of Atlantic shellfish species by HS- SPME GC/MS 显示文摘 | Fratini G Lois S Pazos M | 2012 | Food Research International2012，48，2： | 1 |
| 9 | Development of emulsion from biomass pyrolysis liquid and diesel and their use in engines: Part 1 Emulsion production 显示文摘 | CHIARAMONTI D BONINI M FRATINI E TONDI G GARTNER K BRIDGWATER A V GRIMM H P SOLDAINI I WEBSTER A BAGLIONI P | 2003 | Biomass Bioenergy2003，25，1： | 1 |
| 10 | Volatile profile of Atlantic shellfish species by HS-SPME GC/MS显示文摘 | FRATINI G LOIS S PAZOS M | 2012 | Food Research Internat Ional2012，48，2： | 1 |
| 11 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines - Part 2 : tests in diesel engines 显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bioenergy2003，25，： | 1 |
| 12 | Volatile profile of atlantic shellfish species by HS-SPME GC/MS 显示文摘 | Fratini G Lois S Pazos M | 2012 | Food Research International2012，48，2： | 1 |
| 13 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines( 1 ) : Emulsion production 显示文摘 | CHIARAMONTI D BONINI M FRATINI E | 2003 | Biomass Bioenergy2003，25，1： | 1 |
| 14 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines(2) :Tests in diesel engines显示文摘 | CHIARAMONTI D BONINI M FRATINI E | 2003 | Biomass Bioenergy2003，25，1： | 1 |
| 15 | Competition and interaction be- tween Neosarmatium srnithi (Crustacea: Grapsidae) and Terebralia ~alustris (Mollusca: Gastropoda) in a Kenyan mangrove显示文摘 | Fratini S Caunicci S Vannini M | 2000 | Ma- rine Biology2000，137，2： | 1 |
| 16 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines-Part 1: emulsion production显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bioenergy2003，25，1： | 1 |
| 17 | Development of emulsions frome biomass pyrolysis liquid and diesel and their use in engines-Part 1:Emulsiong production 显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bioenergy2003，25，1： | 1 |
| 18 | Viral infections acquired indoors through airborne, droplet or contact transmission显示文摘 | La Rosa G Fratini M Della Libera S | 2013 | Ann Ist Super Sanita2013，49，2： | 1 |
| 19 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in energy-Part 2 : tests in diesel engines显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bioenergy2003，25，1： | 1 |
| 20 | Nanotubes from a vitamin C - based bolaamphiphile 显示文摘 | Ambmsi M Fratini E Alfredsson V | 2006 | J Am Chem Soc2006，128，22： | 1 |
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