Progress analysis of pancreatic jejunal anastomosis in laparoscopic pancreaticoduodenectomy techniques
10.3760/cma.j.cn113884-20211210-00408
- VernacularTitle:浅谈腹腔镜胰十二指肠切除术中胰肠吻合的技术要点
- Author:
Shubin ZHANG
1
;
Xinbo ZHOU
;
Feng FENG
;
Zixuan HU
;
Zhongqiang XING
;
Jianhua LIU
Author Information
1. 河北医科大学第二医院肝胆外科,石家庄 050000
- Keywords:
Laparoscopy;
Pancreaticoduodenectomy;
Pancreatic jejunal anastomosis;
Pancreatic duct
- From:
Chinese Journal of Hepatobiliary Surgery
2022;28(6):454-455
- CountryChina
- Language:Chinese
-
Abstract:
There are many methods of pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy. It is suggested that the formation of "sinus healing" by pancreaticojejunostomy benefits pancreatic juice extravasation and intestinal fluid reflux. The healing of fibrous layer is based on mechanical connection, and there are various forms of connection. Our team summarized the experience since laparoscopic pancreaticoduodenectomy, using the improved "double needle pancreaticoenterostomy" and combined with "variable diameter measurable drainage catheter" to support the pancreatic duct to form "sinus healing" at the pancreaticointestinal anastomosis.The main techniques and experiences are summarized as follows.