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July 30, 2025The Ukrainian Journal of Clinical Surgery

Comparative analysis of the eff ectiveness of manual and mechanical methods of duodenoenteroanastomosis formation in pancreaticoduodenectomy with preservation of the gatekeeper

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Authors

SMS. MotelchukОLО. І. Lytvyn

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Overview

Comparative analysis shows mechanical stapler cuts surgery time in pancreatoduodenectomy, suggesting better outcomes.

Key Points

  • The mechanical method significantly reduces surgery duration, averaging 362 minutes compared to 403 minutes for manual methods.
  • Patients using mechanical staplers had shorter nasogastric tube use of 2 days versus 7 days in manual cases, indicating less recovery time.
  • Statistical analysis highlights a lower frequency of postoperative complications like pancreatic fistula with mechanical techniques.
  • This research suggests that using mechanical staplers in high-demand surgical centers enhances technique standardization and efficiency.

Cite This Study

Motelchuk et al. (2025) studied this question.

synapsesocial.com/papers/68af4322ad7bf08b1ead1d8ahttps://doi.org/10.26779/2786-832x.2025.4.11
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Is circular-stapled gastrojejunostomy anastomosis apppropriate for pancreaticoduodenectomy?2024
  2. 2The safety and efficacy of stapler method for transection of the pancreatic parenchyma during pancreatoduodenectomy (STRAP-PD trial): study protocol for a randomized control trial2024 · 1 citations
  3. 3Efficacy of staplers in comparison with conventional (Hand-Sewn) anastomosis in gastrointestinal surgery – A prospective and randomized study2024 · 2 citations
  4. 4The safety and efficacy of stapler method for transection of the pancreatic parenchyma during pancreatoduodenectomy (STRAP-PD trial): study protocol for a randomized control trial2024
  5. 5The Mismatch Point: A Modified Technique to Prevent and Overcome Duct–Enterotomy Discrepancy in High‐Risk Pancreaticojejunostomy2026