Preservation of the remaining pancreatic body and tail in pancreatic operations

VernacularTitle:胰腺手术中残存胰体尾的保留
Author: Xianwei DAI ; Jin XU ; Xianmin BU ; Feng GAO ; Xiaobo ZHANG ; Duo SHONG ; Weixue XU
Publication Type:Journal Article
Keywords: Pancreatectomy; Pancreatic body and tail; Bridge internal drainage; Preserving the functions of pancreas
From: Journal of Endocrine Surgery 2010;04(3):161-163
CountryChina
Language:Chinese
Abstract: Objective The purpose of this study was to determine how to preserve the remaining pancreatic body and tail in the pancreatectomy. Methods In seven cases of pancreatectomy, three of them were the rupture of pancreatojejunal anastomosis, and four of them were the pancreatectomy for tumor in the pancreatic neck or body. During operations, a bridge internal drainages was used to drain the pancreatic juice into the adjacent jejunum. After the operations, the supportive treatment, continuous irrigation of peritoneal cavity and pancreatic enzyme inhibition were used. Results In all seven patients, the remaining pancreatic body and tail were successfully preserved. The endocrine functions of these patients recovered to nearly normal level and patients were discharged. Conclusions In preserving the remaining pancreatic body or tail, the bridge internal drainage has its advantage of convenience. It effectively preserves the exocrine of pancreas as well as its endocrine