1.Yancheng Clinical College, Xuzhou Medical University, Jiangsu Province, Yancheng 224000, China;
2.Department of General Surgery, Yancheng NO.1 People’s Hospital, Jiangsu Province, Yancheng 224000, China;
3.Department of General Surgery, the Fourth Affiliated Hospitial of Nantong University, Jiangsu Province, Yancheng 224000, China
Abstract：Objective To investigate the application effect of Braun anastomosis in pancreaticoduodenectomy. Methods A prospective study was conducted on 101 patients who underwent pancreaticoduodenectomy in the Department of General Surgery, Yancheng NO.1 People’s Hospital of Jiangsu Province from February 2017 to February 2020. They were grouped according to their wishes. In the traditional group, 49 cases were treated with standard pancreaticoduodenectomy. In the modified group, 52 cases received lateral small bowel Braun anastomosis on the basis of standard pancreaticoduodenectomy. The relevant laboratory indicators, perioperative indicators, and postoperative complications were compared between the two groups. Results The levels of albumin, total cholesterol, and total bilirubin in the two groups after operation were lower than those before operation, and the differences were statistically significant (P ＜ 0.05). The postoperative hospital stay, intestinal recovery time, and drainage tube indwelling time in the modified group were shorter than those in the traditional group, and the differences were statistically significant (P ＜ 0.05). The total incidence of postoperative complications and the incidence of afferent loop obstruction in the modified group were lower than those in the traditional group, and the differences were statistically significant (P ＜ 0.05). Conclusion The application of Braun anastomosis in pancreaticoduodenectomy can reduce the incidence of postoperative complications, accelerate the recovery of gastrointestinal function and shorten the length of hospital stay.
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