Entrapped duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy
10.3760/cma.j.cn113884-20210307-00090
- VernacularTitle:圈套式胰管对黏膜吻合在胰十二指肠切除术中的应用
- Author:
Yaoxuan WANG
1
;
Huanzhou XUE
;
Qingfeng JIANG
;
Ke LI
;
Yuwei TIAN
;
Jiajia WANG
Author Information
1. 河南省人民医院肝胆外科，郑州 450001
- Keywords:
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Pancreatic fistula
- From:
Chinese Journal of Hepatobiliary Surgery
2021;27(9):685-688
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the safety and efficacy of using entrapped duct-to-mucosa pancreaticojejunostomy for patients with small pancreatic ducts of less than 3 mm in diameter.Methods:The clinical data of patients who underwent entrapped duct-to-mucosa pancreaticojejunostomy at Henan Province People's Hospital from January 2017 to December 2019 were retrospectively analyzed. The incidences of complication including pancreatic fistula and abdominal hemorrhage were studied. The duration to carry out the pancreaticojejunostomy and postoperative hospital study were also analyzed.Results:Of 98 patients included in this study, there were 58 males and 40 females, with an average age of 62.3 (aged 24 to 73) years. The average time of completing the pancreaticoenterostomy was (10.2±3.1) min. There were 10 patients (10.2%) who developed grade A pancreatic fistulae. There were no grade B or C pancreatic fistulae, no portoperative bleeding and no perioperative deaths. The postoperative hospital stay was (13.4±4.6) days.Conclusion:Entrapped duct-to-mucosa pancreaticojejunostomy was simple, quick, safe and effective in patients with small pancreatic ducts.
