Pancreaticogastrostomy with double binding continuous hemstitch sutures
10.3760/cma.j.issn.1673-9752.2013.02.008
- VernacularTitle:双重连续锁边缝合胰胃吻合术
- Author:
Feng ZHU
;
Min WANG
;
Rui TIAN
;
Ming SHENG
;
Dong CHEN
;
Juan HAN
;
Niannian LUO
;
Renyi QIN
- Publication Type:Journal Article
- Keywords:
Periampullary neoplasms;
Pancreaticoduodenectomy;
Pancreaticogastrostomy;
Binding continuous hemstitch suture
- From:Chinese Journal of Digestive Surgery
2013;(2):120-123
- CountryChina
- Language:Chinese
-
Abstract:
Postoperative pancreatic leakage remains a persistent problem after pancreaticoduodenectomy.For patients with a soft and nonfibrotic pancreas,double binding continuous hemstitch suture is an optimal method for anastomosis.From January 2011 to June 2012,92 cases of periampullary carcinoma with a soft pancreas underwent pancreaticoduodenectomy,and then a modified technique of pancreaticogastrostomy was performed with 2 continuous hemstitch sutures placed in the mucosal and seromuscular layers of the posterior gastric wall,respectively.The median time for pancreaticogastrostomy was 12 minutes,and only 15 patients had postoperative complications.Two patients developed pancreatic leakage(1 grade A and 1 grade B)postoperatively.Pancreaticogastrostomy with double binding continuous hemstitch sutures is a simple and safe reconstruction procedure for patients with a soft and fragile pancreas who received pancreaticoduodenectomy.
