Binding pancreaticogastrostomy.
- Author:
Shu-you PENG
1
;
De-fei HONG
;
Ying-bin LIU
;
Zhi-jian TAN
;
Jiang-tao LI
;
Feng TAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Anastomosis, Surgical; methods; Female; Fistula; etiology; prevention & control; Humans; Male; Middle Aged; Pancreas; surgery; Pancreaticoduodenectomy; adverse effects; Postoperative Complications; prevention & control; Stomach; surgery; Surgical Stomas
- From: Chinese Journal of Surgery 2009;47(2):139-142
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the value of a new technique of the binding pancreaticogastrostomy (BPG) in pancreaticoduodenectomy.
METHODSFrom May 2008 to October 2008, 15 patients were performed with BPG, included pancreatic head cancer in 7 cases, duodenal adenocarcinoma in 2 cases,mass-type chronic pancreatitis with pancreatolithiasis in 1 case, ampullary carcinoma in 1 case, gallbladder cancer in 1 case, islet cell tumor in 1 case and cholangiocarcinoma in 2 cases. The main procedures of BPG included: isolating remnant pancreas; slitting partial posterior wall of stomach and preplaced with seromuscular purse-string suture; cutting gastric anterior wall; performing pancreaticogastrostomy (binding of outer seromuscular and inner mucous layer of stomach).
RESULTSThe procedures were successful in 15 patients. Postoperative complications included small amount of pleural effusion in 2 cases, delayed gastric emptying in 2 cases and bile leakage in 2 cases. All patients were cured in 2 weeks. No mortality and anastomosis leakage occurred.
CONCLUSIONThe application of BPG technique can prevent the anastomosis leakage and improve the safety for pancreaticoduodenectomy.
