TY - JOUR AU - Meng, Guangxing AU - Xing, Qianzhe AU - Yuan, Qiang AU - Du, Zhi AU - Wang, Yijun AU - Meng, Hua PY - 2014 TI - Internal compared with external drainage of pancreatic duct during pancreaticoduodenectomy: a retrospective study JF - Chinese Journal of Cancer Research; Vol 26, No 3 (June 01, 2014): Chinese Journal of Cancer Research Y2 - 2014 KW - N2 - Objective: To compare internal with external drainage of the pancreatic duct during pancreaticoduodenectomy with regard to the incidence of postoperative pancreatic fistula (POPF) and other complications. Methods: We retrospectively analyzed 316 patients who underwent pancreaticoduodenectomy with a placed drainage tube (external, n=128; internal, n=188) in the pancreatic duct from 1 January 1999 to 31 December 2011 in Tianjin Third Central Hospital of China. The incidence of POPF and some other complications were compared. Results: There was no difference in the incidence rates of POPF between those given an internal or external drainage tube (P=0.788), but POPF was more severe in the former (P=0.014). Intraperitoneal bleeding rate was also higher in the patients with internal drainage (P=0.040), but operative time and postoperative hospitalization were longer in those with external drainage (P=0.002 and P=0.007, respectively). There was no difference between the groups with regard to the incidence rates of gastrointestinal bleeding, delayed gastric emptying, pulmonary infection, or incision infection and in-hospital mortality. Conclusions: External drainage of the pancreatic duct during pancreaticoduodenectomy can decrease the severity of POPF, but operative time and postoperative hospitalization will be extended. UR - https://cjcr.amegroups.org/article/view/4016