Safe pancreaticojejunostomy after pancreaticoduodenectomy:basic requirements and criteria for selecting methods of anastomisis
10.3760/cma.j.issn.l007-8118.2011.11.003
- VernacularTitle:胰十二指肠切除术胰肠重建的基本要求和吻合方式选择
- Author:
Quanxing NI
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Pancreatic fistula
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(11):876-878
- CountryChina
- Language:Chinese
-
Abstract:
Postoperative pancreatic fistula (POPF) is the most common complication after pancreaticoduodenectomy (PD) and remains a challenge to pancreatic surgeons.In pancreaticojejunostomy,the methods of reconstruction,experience and operational techniques of surgeons are closely related to POPF.Based on a literature review and on personal experience,the author presented the basic requirements and principle in reconstructing a safe pancreaticojejunostomy (PJ).The traditional methods of pancreaticojejunostomy and their recent developments were evaluated,with their advantages and disadvantages compared.The indications of various types of PJ and the special skills required were summarized.According to his own experience,the author described in detail his recommended method of anastomosis.
