Reconsideration of pancreatic reconstruction after pancreatoduodenectomy
10.3760/cma.j.issn.0529-5815.2018.12.002
- VernacularTitle: 胰十二指肠切除术后胰腺重建问题的再认识
- Author:
Yingbin LIU
1
;
Wenguang WU
Author Information
1. Department of General Surgery, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200092, China
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Pancreatic fistula;
Pancreaticojejunostomy;
Pancreaticogastrostomy
- From:
Chinese Journal of Surgery
2018;56(12):885-887
- CountryChina
- Language:Chinese
-
Abstract:
Pancreatic fistula is one of the most common and serious complications after digestive tract reconstruction.Grade A pancreatic fistula is defined as biochemical fistula only when the drainage fluid amylase level is elevated without affecting clinical decision-making.It is not a true pancreatic fistula, or a real surgical complication.Surgeons should pay more attention to the diagnosis and treatment of B and C pancreatic fistula, and it is more valuable to reduce the occurrence of B and C pancreatic fistula.Pancreatic fistula is not a purely surgical technical problem, but the quality of surgical reconstruction is very important.For pancreatic surgeons, the reconstruction of the pancreatic stump digestive tract after pancreaticoduodenectomy is accompanied by both opportunities and challenges.
