Clinical analysis of 24 cases of external pancreaticfistula patients treated by fistulectomy and Roux-en-Y pancreatojejunostomy
10.3969/j.issn.1005-6483.2015.03.007
- VernacularTitle:瘘管切除胰腺空肠Roux-en-Y吻合治疗胰腺外瘘24例临床分析
- Author:
Chenyu ZHU
;
Yaoming ZHU
- Publication Type:Journal Article
- Keywords:
pancreatic fistula;
external drainage;
re-operation time
- From:
Journal of Clinical Surgery
2015;(3):179-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the surgical management of pancreatic fistula caused by pan-creatic trauma and pancreatitis through surgical drainage. Methods A series of 45 patients with pancreat-ic fistula undergoing Roux-en-Y surgery with or without fistulectomy from 2004 to 2014 was analyzed. Pa-tients were divided into two groups:patients in group A(n=21)underwent external drainage of pancreatic secretion by Roux-en-Y surgery,and patients in group B(n= 24)underwent Roux-en-Y surgery with fistu-lectomy. The surgery was performed at 4~6 months after formation of the fistula,and somatostatin was used postoperatively. Results Patients in group A developed more severe side effects than patients in group B, including chronic abdominal pain(6/21 vs. 1/24),pancreatic leakage(8/21 vs. 2/24),digestive bleeding (5/21 vs. 5/24)and incision infection(9/21 vs. 3/24). Conclusion Resection of the fistula plus Roux-en-Y surgery can significantly reduce the incidence of surgical complications,which is a safe and efficient management for pancreatic fistula.
