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| 1 | Matched-pair analysis of postoperative morbidity and mortality for pancreaticogastrostomy and pancreaticojejunostomy using mattress sutures in soft pancreatic tissue remnants显示文摘BACKGROUND:After pancreaticoduodenectomy,the incidence of postoperative pancreatic fistula remains high,especially in patients with 'soft' pancreatic tissue remnants.No 'gold standard' surgical technique for pancreaticoenteric anastomosis has been established.This study aimed to compare the postoperative morbidity and mortality of pancreaticogastrostomy and pancreaticojejunostomy for 'soft' pancreatic tissue remnants using modified mattress sutures.METHODS:Seventy-five patients who had undergone pancreaticogastrostomy and 75 who had undergone pancreaticojejunostomy after pancreaticoduodenectomy between 2002 and 2008 were retrospectively compared using matched-pair analysis.A modified mattress suture technique was used for the pancreaticoenteric anastomosis.Patients with an underlying 'hard' pancreatic tissue remnant,as in chronic pancreatitis,were excluded.Both groups were homogeneous for age,gender,and underlying disease.Postoperative morbidity,mortality,and preoperative and operative data were analyzed.RESULTS:There were no significant differences between the groups for the incidence of postoperative pancreatic fistula (10.7% in both).Postoperative morbidity and mortality,median operation time,median length of hospital stay,intraoperative blood loss,and the amount of intraoperatively transfused erythrocyte concentrates also did not significantly differ between the groups.Patient age >65 years (P=0.017),operation time >350minutes (P=0.001),and intraoperative transfusion of erythrocyte concentrates (P=0.038) were identified as risk factors for postoperative morbidity.CONCLUSIONS:Our results showed no significant differences between the groups in the pancreaticogastrostomy and pancreaticojejunostomy anastomosis techniques using mattress sutures for 'soft' pancreatic tissue remnants.In our experience,the mattress sutures are safe and simple to use,and pancreaticogastrostomy in particular is feasible and easy to learn,with good endoscopic accessibility to the anastomosis region.However,the location of the anastomosis and the surgical technique need to be individually evaluated to further reduce the incidence of postoperative pancreatic fistula. | Fritz Klein Marcus Bahra Matthias Glanemann Wladimir Faber Peter Warnick Andreas Andreou Safak Gül Dietmar Jacob | 2012 | Hepatobiliary & Pancreatic Diseases International2012，11，1： | 9 |
| 2 | Permanent iodine- 125 interstitial implants for the treatment of recurrent glioblastoma multiforme显示文摘 | Patel S Breneman JC Warnick RE | 2000 | Neurosurgery2000，46，2： | 1 |
| 3 | Competence and determination in the process of in vitro shoot organogenesis 显示文摘 | Christianson M L Warnick D A | 1983 | Dev Biol1983，95，： | 1 |
| 4 | Auxiliary antenna-assisted interference mitigation for radio astronomy arrays 显示文摘 | JEFFS Brian D LI Lisha WARNICK Karl F | 2005 | IEEE Transactions on Signal Processing2005，53，2： | 1 |
| 5 | Left ventricular thrombus enhancement after intravenous injection of echogenic immunoliposomes: studies in a new experimental model 显示文摘 | Hamilton A Huang SL Warnick D | 2002 | Circulation2002，105，： | 1 |
| 6 | Temporal requirment for phytohormone balance in the control of organogenesis in vitro 显示文摘 | Christianson M L Warnick D A | 1985 | Dev Biol1985，112，： | 1 |
| 7 | Direct ade novirus-mediated IGF-1 gene transduction of synovium induces persisting synovial fluid IGF-1 ligand elevations 显示文摘 | Goodrich L R Brower-Toland B D Warnick L | 2006 | Gene Ther2006，13，： | 1 |
| 8 | Left ventricular thrombus enhancement after intravenous injection of echogenic immunoliposomes: studies in a new experimental model显示文摘 | Hamilton A Huang S L Warnick D | 2002 | Circulation2002，105，23： | 1 |
| 9 | A competency - based model for developing human resource professionals 显示文摘 | MCEVOY HAYTON WARNICK MUMFORD etal | 2005 | Journal of Management Education2005，29，3： | 1 |
| 10 | Intravascular ultrasound molecular imaging of atheroma components in vivo 显示文摘 | HAMILTON AJ HUANG SL WARNICK D | 2004 | J Am Coll Cardiol2004，43，3： | 1 |
| 11 | Permanent iodine-125 interstitial implants for the treatment of recurrent glioblastoma multiforme 显示文摘 | Patel S0 Breneman JC Warnick RE | 2000 | Neurosurgery2000，46，5： | 1 |
| 12 | Impact of the third cholesterol report from the Adult Treatment Panel of the National Cholesterol Education Program on the clinical laboratory显示文摘 | Myers G L Cooper G R | 2002 | Clin Chem2002，48，1： | 1 |
| 13 | Weight for ges-tational age affects the mortality of late preterm Infants显示文摘 | Pulver LS Warnick G Stoddard GJ | | 0，，： | 1 |
| 14 | Numerical simulation methods for rough surface scattering显示文摘 | WARNICK K F CHEW W C | 2001 | Waves in Random Media2001，11，1： | 1 |
| 15 | Changes in plasma lipids and dietary intake accompanying shifts in perceived work-load and stress显示文摘 | McCann B S Warnick G R Knopp R H | 1990 | Psychosomatic Medicine1990，2，： | 1 |
| 16 | Numerical simulation methods for rough surface scattering显示文摘 | K F Warnick W C Chew | 2001 | Waves in Random Media2001，11，1： | 1 |
| 17 | Left ventricular thrombus enhancement after intravenous injection of echogenic immunoliposomes:studies in a new experimental model显示文摘 | Hamilton A Huang SL Warnick D | 2002 | Circulation2002，105，： | 1 |
| 18 | Left Ventricular Thrombus Enhancement After Intravenous Injection of Echogenic Immunoliposomes: Studies in a New Experimental Model显示文摘 | Andrew Hamilton Shao-Ling Huang Drew Warnick Adam Stein Mark Rabbat Taruna Madhav Bonnie Kane Ashwin Nagaraj Melvin Klegerman Robert MacDonald David McPherson | 2002 | Circulation: Journal of the American Heart Association2002，，23： | 1 |
| 19 | Histone deacetylase in- hibitors induce G2-checkpoint arrest and apoptosis in cisplat- inum-resistant ovarian cancer ceils associated with overexpression of the Bcl-2-related protein Bad 显示文摘 | Strait KA Warnick CT Ford CD | 2005 | Mol Cancer Ther2005，4，4： | 1 |
| 20 | Weed suppression with hydramulch, a biodegradable liquid paper mulch in development 显示文摘 | Warnick J P Chase C A Rosskopf E N | 2006 | Renewable Agriculture and Food Systems2006，21，4： | 1 |
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