Clinical application of duct-to-mucosa anastomosis technique for pancreaticoduodenectomy
10.3760/cma.j.issn.1674-1935.2009.05.004
- VernacularTitle:胰十二指肠切除术胰管-黏膜端侧吻合法的临床应用
- Author:
Shun ZHANG
;
Bin ZHANG
;
Weidong GUO
;
Fabo QIU
;
Liqun WU
- Publication Type:Journal Article
- Keywords:
Digestive system surgical procedures;
Pancreaticoduodenectomy;
Postoperative complications;
Pancreaticojejunostomy
- From:
Chinese Journal of Pancreatology
2009;9(5):300-302
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect and safety of duct-to-mucosa anastomosis technique for pancreaticoduodenectomy(PD).Methods The clinical data,including pancreatic fistula and other complications,of 189 patients underwent PD with end-to-side pancreaticojejunostomy at our institution from Jan 2001 to Jan 2009 were analyzed retrospectively.The definition of pancreatic fistula was threefold increase over the serum amylase level 7 days after operation,and draining volume was more than 50 ml per day.Results Totally 177 Whipple procedures were performed,while 12 pylorus-preserving pancreateduodenectomy procedures were performed.Five patients developed pancreatic fistula with a incidence of 2.65%(5/189).In which 3 were mild Cases,who fully recovered after conservative management,and the other 2 cages were cured by surgical intervention.Other complications included 9 cases of wound infection(4.76%,9/189),11 cases of empty dysfunction(5.82%,11/189),5 Cases of delayed hemorrhage(2.65%,5/189),and 4 cases of intra-abdominal infection(2.12%,4/189),and 2 patients died due to severe intra-abdominal infection and acute pulmonary infarction.Conclusions Duet-to-mucesa anastomosis technique resembles physiological state with low incidence of pancreatic fistula and delayed anastomosis hemorrhage.It may be used for different kinds of anastomosis for pancreatic stump.
