The treatment of the fissuration of pancreatojejunal stoma by the bridge-crossing internal drainage
10.3760/cma.j.issn.1674-6090.2009.05.008
- VernacularTitle:主胰管导管桥式内引流术救治胰肠吻合口裂开
- Author:
Xianwei DAI
;
Jin XU
;
Xianmin BU
;
Feng GAO
;
Xiaobo ZHANG
- Publication Type:Journal Article
- Keywords:
Disruptions of pancreatojejunal stoma;
Serious pancreatic leakage;
Hemorrage in abdominal cavity;
Bridge-crossing internal drainage;
Continuous irrigation of peritoneal cavity
- From:
Journal of Endocrine Surgery
2009;3(5):319-322
- CountryChina
- Language:Chinese
-
Abstract:
Objective The purpose of this study was to discuss the therapies for hemorrage caused by the fissuration of pancreatojejunal stoma and pancreatic leakage after pancreatoduodenectomy.Methods After three cases of pancreatoduodenectomy,the disruptions of pancreatojejunal stoma resulted in serious pancreatic leakage and the hemorrage in abdominal cavity.During all the second operations,the drainage-tube insertions into the main pancreatic ducts were used to lead the pancreatic juice into the neighboring loop of jejunum.Results Afer the operations,the supportive treatment,continuous irrigation of peritoneal cavity and pancreatic enzyme inhabition were given to the patients of these cases and all of the patients were successfully cured.Conclusions The bridge-crossing internal drainage which inserts drainage-tube into the main pancreatic duct was a convenient and effective therapy and method to rescue the hemorrage caused by the fissuration of pancreatojejunal stoma and pancreatic leakage after pancreatoduodenectomy.While the patients' lives were saved,their functions of pancreas were preserved and the qualities of life were improved after the operations.
