Application of a double purse-string bridging pancreaticojejunostomy in total laparoscopic pancreaticoduodenectomy
10.3760/cma.j.issn.1007-8118.2019.10.010
- VernacularTitle: 双荷包桥接式胰肠吻合在完全腹腔镜胰十二指肠切除术中的应用
- Author:
Haihua ZHOU
1
;
Xiaokang WU
;
Hengdan FAN
;
Xuemin LI
;
Longtang XU
;
Shian YU
Author Information
1. The First Department of Hepatopancreatobiliary Surgery, Jinhua Hospital of Zhejiang University, Jinhua 321000, Zhejiang Province, China
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Laparoscopes;
Pancreatic fistula;
Pancreatic neoplasms;
Pancreaticojejunostomy, double purse-string bridge
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(10):759-762
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the feasibility of using a double purse-string bridging pancreaticojejunostomy in total laparoscopic pancreaticoduodenectomy (TLPD).
Methods:A database of 35 patients who underwent TLPD using a double purse-string bridging pancreaticojejunostomy from January 2016 to January 2019 in Jinhua Hospital of Zhejiang University was retrospectively reviewed. The perioperative outcomes were analyzed.
Results:All the 35 patients underwent TLPD successfully. The surgery time was (370.2±33.5) min, and the time of constructing the pancreaticojejunostomy was (28.4±12.6) min. The hospital stay after surgery was (14.2±6.9) days. Five patients developed postoperative complications, including pancreatic fistula in 3 patients, bile leakage in 1 patient, gastroparesis (complicated with abdominal infection) in 1 patient, and abdominal infection in 3 patients (2 patients with pancreatic fistula, and 1 patient with gastroparesis). All the patients with complications responded well to conservative treatment.
Conclusions:A double purse-string bridging pancreaticojejunostomy was simple and widely applicable. It is safe and feasible in total laparoscopic pancreaticoduodenectomy and should be promoted in clinical practice.
