Pancreatic-duct hanging and continuous suturing maneuver in end-to-side anastomosis after pancreticoduedenectomy
10.3760/cma.j.issn.1007-8118.2012.12.008
- VernacularTitle:“悬吊式”胰管-空肠端侧连续缝合吻合在胰十二指肠切除术中的应用
- Author:
Ke DONG
;
Wei XIONG
;
Xiaojiong YU
;
Chun GU
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Postoperative complications
- From:
Chinese Journal of Hepatobiliary Surgery
2012;(12):912-915
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the impact of pancreatic duct hanging and continuous suturing maneuver in end-to-side pancreaticojejunostomy on the incidence of pancreatic fistula after pancreaticoduodenectomy (PD),and to study the feasibility,safety and efficacy.Method 165 patients who underwent pancreaticoduodenectomy were randomly selected and the incidences of pancreatic fistula for the different types of pancreaticojejunostomy were analyzed.Results The overall rate of pancreatic fistula was 13.9％ (23/165).The incidences of pancreatic fistula after pancreatic duct hanging and continuous suturing maneuver in end-to-side anastomosis (3.1％,2/65,group C) was significantly lower than the traditional intussusception anastomosis (23.1％,12/52,group A,P＜0.05) and the mucosa mucosa anastomosis (18.8％,9/48,group B).There was no significant difference between the traditional intussusception anastomosis and the mucosa mucosa anastomosis (P＞0.05).In group C,the average operative time,intraoperative blood loss,and postoperative drainage was obviously superior to the A and B group (P＜0.05).There was no significant difference between the A and B group (P＞0.05).The other complications showed no significant differences among the three groups (P＞0.05).Conclusion Pancreatic-duct hanging and continuous suturing maneuver in end-to-side anastomosis significantly reduced the rate of pancreatic fistula after pancreaticoduedenectomy.It was feasible,safe,convenient to use and should be popularized.
