Prevention and management of pancreaticoduodenal anastomotic dehiscence
10.3760/cma.j.issn.1673-9752.2013.02.005
- VernacularTitle:胰十二指肠切除术后吻合口裂开的预防与治疗策略
- Author:
Xianwei DAI
;
Jin XU
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Anastomotic fistula;
Pancreatic fistula;
Treatment;
Prevention
- From:
Chinese Journal of Digestive Surgery
2013;(2):109-112
- CountryChina
- Language:Chinese
-
Abstract:
Pancreaticoduodenal anastomotic dehiscence complicated with peritoneal hemorrhage following pancreaticoduodenectomy is a serious complication which threatens patients'life.Prevention and mangement of pancreaticoduodenal anastomotic dehiscence and peritoneal hemorrhage is the focus in the surgical treatment.Operation is the most reliable treatment for bleeding.While reoperation is difficult for most surgeons and the risk of fistula and rebleeding after reoperation exist.Some procedures will affect the endocrine and exocrine function of pancreas.We applied pancreaticojejunal bridge drainage for most patients with hemorrhage after pancreaticoduodenectomy.This procedure is easy,safe,and can protect the pancreatic function.
