Abstract:
:The modified Blumgart method for pancreaticojejunostomy has been shown to reduce the rate of postoperative pancreatic fistula (POPF) in open surgery. We describe a modified Blumgart method using LAPRA-TY suture clips to facilitate laparoscopic pancreaticojejunostomy.We prepared a double-armed 4-0 nonabsorbable monofilament, which was ligated using the LAPRA-TY clip at the tail end, 12-cm in length. Next, the U-suture was placed through the pancreatic stump and the seromuscular layer of the jejunum. We performed duct-to-mucosa suturing with a 5-0 absorbable monofilament. After completing the duct-to-mucosa suturing, as a final step we placed the sutures through the seromuscular layer of the jejunum on the ventral side and tightly secured the thread with the LAPRA-TY clips. We performed laparoscopic Blumgart pancreaticojejunostomy during pancreaticoduodenectomy in 39 patients. We compared the surgical outcomes of 19 patients who underwent Blumgart pancreaticojejunostomy using the LAPRA-TY clips (LAPRA-TY group) with 20 patients undergoing surgery not using the LAPRA-TY clips (conventional group).The rate of clinically relevant postoperative pancreatic fistula in the LAPRA-TY group was 21.1%, which did not differ significantly from the rate of the conventional group. However, the mean time of pancreaticojejunostomy in the LAPRA-TY group was 56.2 min (range, 39-79 min), which was significantly shorter than that of the conventional group (69.7 min; range, 53-105 min, P < .001).Although the modified Blumgart pancreaticojejunostomy using LAPRA-TY suture clips did not improve the pancreatic fistula rate, it allowed for shorter operative times. Thus, this procedure lends itself to positive surgical and patient outcomes.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Nagakawa Y,Takishita C,Hijikata Y,Osakabe H,Nishino H,Akashi M,Nakajima T,Shirota T,Sahara Y,Hosokawa Y,Ishizaki T,Katsumata K,Tsuchida Adoi
10.1097/MD.0000000000019474subject
Has Abstractpub_date
2020-03-01 00:00:00pages
e19474issue
10eissn
0025-7974issn
1536-5964pii
00005792-202003060-00066journal_volume
99pub_type
杂志文章相关文献
MEDICINE文献大全abstract:ABSTRACT:To compare pregnancy outcomes between patients with gestational diabetes mellitus (GDM) with and without their own blood glucose meter.We conducted a retrospective-cohort study of 835 women with GDM at the Second Hospital of Tianjin Medical University, Tianjin, China from 1 January 2016 to 31 December 2018. Pe...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023793
更新日期:2020-12-18 00:00:00
abstract::Bacterial pericarditis is a rapidly progressive and highly fatal infection, and is often diagnosed postmortem in half of the cases. Even with drainage and antibiotics, the mortality rate is high. Gram-positive cocci, specifically Streptococcus penumoniae, have been the most common cause of bacterial pericarditis with ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000001709
更新日期:2015-10-01 00:00:00
abstract::The acute chest syndrome (ACS) is the main cause of mortality among adult patients with sickle cell disease (SCD). Its pathophysiology is still unclear. Using positron emission tomography (PET) with F-fluorodeoxyglucose [18F-fluorodeoxyglucose (F-FDG)], we explored the relationship between regional lung density and lu...
journal_title:Medicine
pub_type: 临床试验,杂志文章
doi:10.1097/MD.0000000000000821
更新日期:2015-05-01 00:00:00
abstract::Patients with peritoneal metastases (PM) are generally considered incurable; therefore, the presence of PM is a critical factor in deciding between palliative surgery and curative resection as a therapeutic strategy. Previous studies have not determined the predictive value of ascites detected on computed tomography (...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009343
更新日期:2018-02-01 00:00:00
abstract::Catheter-related bladder discomfort (CRBD) is a distressing symptom complex after surgery, especially in male patients who have had urinary catheterization under general anesthesia. In this prospective, randomized, controlled trial, we compared dorsal penile nerve block (DPNB) with 0.33% ropivacaine with intravenous t...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000003409
更新日期:2016-04-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000006192.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/MD.0000000000007121
更新日期:2017-06-02 00:00:00
abstract:RATIONALE:The frequency of tooth avulsion is on the rise due to increasing rates of maxillofacial trauma. Avulsed teeth present with varying degrees of root resorption, and are generally asymptomatic; therefore, they often go undiagnosed. The etiopathogenesis of root resorption in replanted teeth following avulsion rem...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018869
更新日期:2020-01-01 00:00:00
abstract::Dysphagia can occur among patients receiving medical care despite having no history of neurologic disease. The current study aimed to investigate factors contributing to airway invasion among non-neurologically ill patients with dysphagia.This retrospective study included 52 non-neurologically ill patients who complai...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022977
更新日期:2020-11-06 00:00:00
abstract::This study was aimed to evaluate whether silver-containing dressings were superior to other types of dressings in the treatment of venous leg ulcers (VLU) and their specific advantages.Eight databases (Cochrane Library, PubMed, Web of Science, Ovid-Medline, Wanfang, VIP, China Biology Medicine, and China National Know...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000022164
更新日期:2020-09-11 00:00:00
abstract:BACKGROUND:A worldwide concern has been raised that novel infectious diseases may outbreak rapidly with a limited response time due to globalization. Severe Acute Respiratory Syndrome, influenza A, Avian Influenza Virus, and Corona Virus Disease 2019 are acute respiratory diseases that have been affected by the movemen...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021249
更新日期:2020-07-24 00:00:00
abstract::This study aims to examine the expression of p53, p16, and murine double minute 2 (MDM2) protein in normal endometrium and endometriosis, in order to discuss the role of p53, p16, and MDM2 protein and apoptosis in the pathogenesis and development of endometriosis, and provide a theoretical basis for clinical diagnosis...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014776
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Previous epidemiological studies have reported the relationship between CXC motif chemokine receptor 4 (CXCR4) synonymous polymorphism (rs2228014), and risk of cancer, but the results remained conflicting and controversial. Therefore, this study was devised to evaluate the genetic effects of the rs2228014 po...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000005317
更新日期:2016-12-01 00:00:00
abstract::Different patterns of milk and breast cancer rates across countries suggest that several components of milk could affect breast cancer risk. However, the components of diet are complex including milk that could potentially influence risk. Some milk products such as whole milk and cheese have a high fat content which m...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000014900
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Among all types of cervical spondylitis, cervical spondylitis radiculopathy (CSR) has the highest incidence. The incidence of CSR increases year by year and is generally younger, which has seriously threatened people's quality of life and affected their work and life. This study proposes to improve the recov...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000020846
更新日期:2020-06-26 00:00:00
abstract:RATIONALE:Angioleiomyoma is an uncommon benign tumor that originates from the vascular smooth muscle cells and contains thick-walled vessels. It can appear anywhere in the body but more frequently in the extremities (especially in the lower limbs) and rarely invades the internal organs. PATIENT CONCERNS:A 52-year-old ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014661
更新日期:2019-03-01 00:00:00
abstract::This study aims to explore the effect of oxycodone hydrochloride injection on the immune function of patients who underwent radical resection of rectal cancer under general anesthesia.Eighty patients were enrolled and randomly divided into group A and B (n = 40, each). All patients underwent general intravenous anesth...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000007519
更新日期:2017-08-01 00:00:00
abstract::The aim of this study was to investigate the correlation between cluster of differentiation 86 (CD86) gene rs1129055 and rs2715267 single nucleotide polymorphisms and sepsis susceptibility.One hundred twenty-five sepsis patients and 120 healthy controls were enrolled in this case-control study. CD86 polymorphisms rs11...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017482
更新日期:2019-10-01 00:00:00
abstract::There is paucity of data on the impact of surgical incision and analgesia on relevant outcomes.A retrospective STROBE-compliant cohort study was performed between July 2007 and August 2017 of patients undergoing lung transplantation. Gender, age, indication for lung transplantation, and the 3 types of surgical access ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022427
更新日期:2020-11-13 00:00:00
abstract:RATIONALE:Gastrointestinal stromal tumor (GIST) is the neoplasm of gastrointestinal tract. PATIENT CONCERNS:The patient complained about the retention of urinary. DIAGNOSES:GIST. INTERVENTIONS:radical prostatectomy and the imatinib therapy. OUTCOMES:No recurrence and metastasis have been found during a 14-month fol...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005439
更新日期:2016-11-01 00:00:00
abstract:RATIONALE:Malakoplakia is a rare disease characterized by the presence of nongranulomatous macrophage infiltration. In most cases, it affects the urinary tract. Malakoplakia can cause acute kidney injury when it is localized in the kidneys. PATIENT CONCERNS:Here, we report the case of a 65-year-old female patient with...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012090
更新日期:2018-10-01 00:00:00
abstract:INTRODUCTION:Premature ejaculation (PE) affects 8% to 30% of adult men worldwide. Recently, the incidence of PE is on the rise. A series of prior studies suggested that the incidence of PE is related to various biological factors as low testosterone, low serum vitamin D, diabetes, lower urinary tract symptoms, and othe...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000021866
更新日期:2020-08-21 00:00:00
abstract::This study is to investigate the cervical human papillomavirus (HPV) infection rate in women of Urumqi, China.The epidemiological questionnaire survey was used to study 2300 women in Urumqi with a prospective research method. The second-generation hybrid capture assay, cervical liquid-based cytology test, colposcopy, ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013206
更新日期:2018-11-01 00:00:00
abstract:RATIONALE:Gout and gouty arthritis typically involve peripheral and monoarticular joints, especially the first metatarsophalangeal joint and knees. Hip involvement in patients with gout is rare, and its diagnosis is very difficult, especially in the late stages of the disease. Total hip arthroplasty could be a surgical...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023027
更新日期:2020-10-30 00:00:00
abstract:INTRODUCTION:Purpuric drug eruption (PDE) is an uncommon, clinically distinct side effect of epidermal growth factor receptor (EGFR) inhibitors. PATIENT CONCERNS:Unlike acneiform eruption, which arises from hair follicles mainly in the head and neck area, PDE starts from xerosis cutis, primarily in the lower extremiti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018112
更新日期:2019-11-01 00:00:00
abstract::The main objective of the study was to evaluate the efficacy and safety of dabrafenib alone or combined with trametinib for compassionate use in patients with metastatic melanoma.This retrospective, observational study involved 135 patients with unresectable stage IIIC or stage IV melanoma from an expanded-access prog...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009523
更新日期:2017-12-01 00:00:00
abstract::Along with article-based checklists, structured template recording systems have been reported as useful to create more accurate clinical recording, but their contributions to the improvement of the quality of patient care have been controversial. An emergency department (ED) must manage many patients in a short time. ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005105
更新日期:2016-10-01 00:00:00
abstract:RATIONALE:Bronchial foreign body aspiration is a critical condition that jeopardizes the respiratory function of children. Prompt diagnosis and removal of the foreign body can reduce occurrence of foreign body complications and mortality. Aspiration of spherical plastic beads is rare, and the bead is difficult to retri...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012147
更新日期:2018-09-01 00:00:00
abstract::Lymphoid follicles/aggregates in gastric biopsies have been traditionally linked to Helicobacter pylori gastritis, and less commonly to other inflammatory and neoplastic conditions. The frequency of such aggregates in normal stomachs has yet to be adequately evaluated. This is especially relevant when it comes to diag...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018926
更新日期:2020-02-01 00:00:00
abstract::The aim of this paper was to define an unexplained non-classified polyneuropathy condition as a new neurological disease. This new diagnosis of occupation related polyneuropathy has been named as "WORKING HAND SYNDROME (WHS)."This study collected and compared clinic and electrophysiological analyze data from healthy c...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007235
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:To assess the efficacy and safety of tranexamic acid (TA) in reducing blood loss and lowering transfusion needs for patients undergoing caesarean section (CS) or vaginal delivery (VD). METHODS:An electronic literature search of PubMed, EMBASE, OVID, Cochrane library, Scopus, Central, and Clinical trials.gov...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000005653
更新日期:2017-01-01 00:00:00