A new strategy for enhancing pancreatoduodenectomy safety: reducing the seriousness of post operative pancreatic fistula by an improved digestive tract reconstruction characterized by independent pancreatic fluid drainage
10.3760/cma.j.issn.1007-8118.2016.01.001
- VernacularTitle:提升胰十二指肠切除术安全性的新策略:通过双肠袢胆胰分离式消化道重建降低胰瘘严重性
- Author:
Wenbing SUN
- Publication Type:Journal Article
- Keywords:
Pancreatoduodenectomy;
Pancreatic fistula;
Operation safety;
Operation strategy;
Compliation
- From:
Chinese Journal of Hepatobiliary Surgery
2016;22(1):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Post operative pancreatic fistula (POPF) is a common complication and cause of death after pancreaticoduodenectomy (PD).With classical PD procedures,the predisposing factors and clinical characteristics of POPF are closely related to the single loop style of digestive tract reconstruction.For decades,based on the conventional thinking of technical improvement,the surgeons have tried to enhance the safety of PD procedure mainly by reducing the incidence of POPF and scarcely by paying attention to decreasing the seriousness of POPF.This paper introduced a new strategy to enhance the safety of PD by reducing the seriousness of POPF through a new method of digestive tract reconstruction.The technique is characterized by a dual-loop reconstruction guaranteeing isolated drainage of pancreatic fluid,which can avoid complex fistula of pancreatic fluid,bile and even gastro-intestinal fluid when pancreatic or biliary fistula occur and the subsequent potentiality of serial severe complication.Preliminary studies showed that this strategy could effectively enhance safety of PD by reducing the seriousness of pancreatic fistula.
