Application of modified duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy
- VernacularTitle:改良胰管空肠黏膜吻合术在胰十二指肠切除术中的应用
- Author:
Bin ZHU
;
Yougang MA
;
Liang JING
;
Lei XIA
;
Renyan GONG
;
Yinghe QIU
;
Mengchao WU
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy/methods;
Pancreaticojejunostomy/methods;
Pancreatic Fistula/prev
- From:
Chinese Journal of General Surgery
1994;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate a modified technique of pancreaticojejunostomy in pancreaticoduodenectomy ( PD ).Methods The clinical data of 72 patients of PD using the modified technique of duct-to-mucosa pancreaticojejunostomy for treatment of benign or malignant tumor of pancreas or duodenum was retrospectively analyzed.Results There were no operative deaths; 2 of the 72 patients (2.78%) had postoperative pancreatic fistula. 63 patients were followed up. Of the 63 cases, the digestion and absorption functions of gastrointestine were normal in 60 patients and they were well nourished,but 3 patients suffered from chronic steatorrhea and malnutrition.Conclusions The modified duct-to-mucosa pancreaticojejunostomy is a simple and safe technique. With this technique, the rate of pancreatic fistula or leakage is relatively low and the function of the remnant pancreatic is well preserved.
