No-touch isolation technique in emergency pancreaticoduodenectomy for neoplastic hemorrhage: Two case reports and review of literature  

作　　者：Akihiro Cho Satoshi Katagiri Masao Ota Shunsuke Onizawa Ryota Higuchi Toshiya Sugishita Yukiko Niwa Takeshi Ishita Toshihiko Mouri Akita Kato Moe Iwata 

机构地区：[1]Division of Gastroenterological Surgery,Tokyo Women’s Medical University,Yachiyo Medical Center,Chiba 276-8524,Japan

出　　处：《World Journal of Gastrointestinal Surgery》2024年第6期1910-1917,共8页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Emergency pancreaticoduodenectomy(EPD)is a rare event for complex periam-pullary etiology.Increased intraoperative blood loss is correlated with poor post-operative outcomes.CASE SUMMARY Two patients underwent EPD using a no-touch isolation technique,in which all arteries supplying the pancreatic head region were ligated and divided before manipulation of the pancreatic head and duodenum.The operative times were 220 and 239 min,and the blood loss was 70 and 270 g,respectively.The patients were discharged on the 14^(th) and 10^(th) postoperative day,respectively.Thirty-two patients underwent EPD for the treatment of neoplastic bleeding.The mean operative time was 361.6 min,and the mean blood loss was 747.3 g.The comp-lication rate was 37.5%.The in-hospital mortality rate was 9.38%.CONCLUSION The no-touch isolation technique is feasible,safe,and effective for reducing intraoperative blood loss in EPD.

关 键 词：No-touch isolation technique PANCREATICODUODENECTOMY Emergency pancre-aticoduodenectomy Neoplastic bleeding Superior mesenteric artery first approach Case report 

分 类 号：R656[医药卫生—外科学] R73[医药卫生—临床医学]