A retrospective clinical study on 1,077 patients undergoing pancreaticoduodenectomy compared hand-sewn anastomosis to stapled anastomosis in reducing delayed gastric emptying. After propensity score matching, the hand-sewn group demonstrated a significantly lower incidence of delayed gastric emptying and upper gastrointestinal tract bleeding. It also resulted in reduced length of stay and hospitalization expenses. Logistic regression analysis identified stapled anastomosis, intra-abdominal infection, and postoperative pancreatic fistula as independent prognostic factors for delayed gastric emptying. Surgeons should consider hand-sewn anastomosis to improve patient outcomes and minimize delayed gastric emptying.
Journal Article by Fu Z, Gao S (…) Jin G et 15 al. in BMC Surg
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