Comparative analysis of the eff ectiveness of manual and mechanical methods of duodenoenteroanastomosis formation in pancreaticoduodenectomy with preservation of the gatekeeper
Comparative analysis shows mechanical stapler reduces surgery time in pancreatoduodenectomy with pylorus preservation, suggesting improved efficiency.
Key Points
Mechanical duodenoenterostomy significantly reduced surgery time to 362 minutes compared to 403 minutes for manual techniques, enhancing efficiency.
Nasogastric tube use was shorter in the mechanical group at 2 days, while manual use averaged 7 days, indicating faster recovery.
Analysis included 79 patients undergoing pancreatoduodenectomy, differentiating manual versus mechanical stapler methods for anastomosis formation.
Adopting a mechanical method standardizes procedures, lowers human-related variability, and may improve patient safety in high-workload surgical centers.