External drainage of full pancreatic juice decreases pancreatic leakage in pancreatoduodenectomy
10.3760/cma.j.issn.1673-4203.2014.06.006
- VernacularTitle:胰液完全外引流减少胰十二指肠切除术后胰漏
- Author:
Yongbing CHEN
;
Banglv JU
;
Xiaoqing SHEN
;
Conghui YU
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Pancreatic leakage;
Surgical procedures,operative;
Postoperative complications
- From:
International Journal of Surgery
2014;41(6):380-382
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the results of a new pancreaticojejunostomy technique designed to decrease incidence of pancreatic leakage in pancreatoduodenectomy.Methods The clinical data of 11 cases of pancreatoduodenectomy using remnant pancreatico-jejunum end-to-end anastomosis with external drainage of full pancreatic juice was analyzed retrospectively.Briefly,5-0 bioabsorbable suture was penetrated through the pancreatic stump and stent and then circulated the pancreatic stump for 2 circles and ligated.Octreotide was not administered in any cases post-operation.Results The operation was simple and timespared.Neither pancreatic leakage nor postoperative bleeding occurred in the cases.From 4 months to 3 years following operation,no other complications were found in all cases.Conclusions The method was safe,feasible and effective to decrease incidence of pancreatic leakage in pancreatoduodenectomy.
