مقایسه جراحی ویپل به روش موکوزکتومی آناستوموز پانکراس به ژژنوم با روش‌های معمول

   Background & Aims: The Whipple procedure has been with high rates of mortality which maid surgeons to use various methods to anastomose pancreas to jejunum. In this survey we compared the Whipple procedure by method of mucosectomy anastomosis of pancreas to jejunum with conversional methods.  Materials & Methods: During 18 months, 20 patient with head of pancreas cancer divided randomly in two groups of 10 persons, one group went under method of mucosectomy anastomosis of pancreas to jejunum (group 1) and the other, classic method (group 2), and were compared with rates of anastomosis leak and other complications by T-Test and Chi-Square in the program of SPSS 16.  Results: Mortality rates in group two with classic Whipple procedure had been two times higher than mucosectomy method and anastomosis leak has been seen in 20% of patient with classic method which hasn’t seen in mucosectomy method. Although this differences hadn’t been significant (P>0.05). The length of surgery time had been significantly shorter in mucosectomy method.  Conclusion: According to lower rates of morbidity and mortality and shorter length of surgery time, the mucosectomy anastomosis of pancreas to jejunum can be use as a safe method, although further surveys with higher number of samples seems necessary.     SOURCE: URMIA MED J 2014: 25(3): 213 ISSN: 1027-3727