Abstract：
OBJECTIVE: The aim of our study was to investigate the clinical results of omental flap application during pancreaticojejunostomy (PJ) anastomosis in pancreatoduodenectomy (PD) surgeries.
METHODS: The data of patients who underwent pancreaticoduodenectomy in our hospital were evaluated retrospectively. The patients were divided into two groups; patients with an omental flap (Group 1) and those without an omental flap (Group 2). The demographic and other characteristics of the groups and the incidence of postoperative pancreatic fistula (POPF) development were compared.
RESULTS: One hundred patients were included (39 females, 61 males) Group 1 consisted of 20 patients with omental flaps and Group 2 consisted of 80 patients without omental flaps. While no clinically significant (Grade B and C) leaks were observed in Group 1, both biochemical and clinically significant leak rates were lower in Group 1 compared to 4 patients (5%) in Group 2. There was no statistically significant difference compared with Group 2 (p > 0.05).
CONCLUSIONS: Although not statistically significant in this study, postoperative complication rates and the incidence of POPF tended to decrease in patients who underwent omental flaps.
METHODS: The data of patients who underwent pancreaticoduodenectomy in our hospital were evaluated retrospectively. The patients were divided into two groups; patients with an omental flap (Group 1) and those without an omental flap (Group 2). The demographic and other characteristics of the groups and the incidence of postoperative pancreatic fistula (POPF) development were compared.
RESULTS: One hundred patients were included (39 females, 61 males) Group 1 consisted of 20 patients with omental flaps and Group 2 consisted of 80 patients without omental flaps. While no clinically significant (Grade B and C) leaks were observed in Group 1, both biochemical and clinically significant leak rates were lower in Group 1 compared to 4 patients (5%) in Group 2. There was no statistically significant difference compared with Group 2 (p > 0.05).
CONCLUSIONS: Although not statistically significant in this study, postoperative complication rates and the incidence of POPF tended to decrease in patients who underwent omental flaps.
摘要：
目的：我们的研究目的是探讨大网膜瓣在胰十二指肠切除术（PD）手术中应用胰肠吻合术（PJ）吻合的临床效果。
方法：对我院行胰十二指肠切除术的患者资料进行回顾性分析。将患者分为两组；有网膜皮瓣的患者（第1组）和没有网膜皮瓣的患者（第2组）。比较各组的人口统计学和其他特征以及术后胰瘘（POPF）发展的发生率。
结果：包括100名患者（39名女性，61名男性）第1组包括20例带有网膜皮瓣的患者，第2组包括80例没有网膜皮瓣的患者。虽然在组1中没有观察到临床上显著的(B级和C级)渗漏,但与组2中的4名患者(5%)相比,组1中的生化和临床上显著的渗漏率都较低。与第2组比拟差别无统计学意义(p>0.05)。
结论：虽然在这项研究中没有统计学意义，在接受大网膜皮瓣的患者中,术后并发症发生率和POPF发生率呈下降趋势.
方法：对我院行胰十二指肠切除术的患者资料进行回顾性分析。将患者分为两组；有网膜皮瓣的患者（第1组）和没有网膜皮瓣的患者（第2组）。比较各组的人口统计学和其他特征以及术后胰瘘（POPF）发展的发生率。
结果：包括100名患者（39名女性，61名男性）第1组包括20例带有网膜皮瓣的患者，第2组包括80例没有网膜皮瓣的患者。虽然在组1中没有观察到临床上显著的(B级和C级)渗漏,但与组2中的4名患者(5%)相比,组1中的生化和临床上显著的渗漏率都较低。与第2组比拟差别无统计学意义(p>0.05)。
结论：虽然在这项研究中没有统计学意义，在接受大网膜皮瓣的患者中,术后并发症发生率和POPF发生率呈下降趋势.
