Rationality of pancreatic neck linear stapler closure combined with continuous single-layer pancreaticojejunal anastomosis technology based on the mechanism of pancreatic intestinal anastomosis complications
10.3760/cma.j.cn115396-20230602-00158
- VernacularTitle:从胰肠吻合口并发症发生机制看胰颈直线切割闭合加连续单层胰肠吻合术的合理性
- Author:
Jian KONG
1
;
Wenbing SUN
Author Information
1. 首都医科大学附属北京朝阳医院石景山院区肝胆胰脾外科,北京 100043
- Keywords:
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Postoperative complications;
Linear stapler closure of pancreatic neck;
Continuous single-layer pancreati
- From:
International Journal of Surgery
2023;50(6):365-369,F1
- CountryChina
- Language:Chinese
-
Abstract:
Pancreaticojejunostomy (PJ) is an important component of pancreatic surgery such as pancreaticoduodenectomy. It is not only a technical difficulty, but also a common site for serious complications such as postoperative pancreatic fistula. In order to better adapt to the new requirements of the laparoscopic era, simplify PJ, and improve its quality, the author′s team innovatively applied the pancreatic neck linear stapler closure technology to pancreatic transection, and applied continuous single-layer suture technology to PJ, achieving satisfactory initial results. This article proposes the technical details of high-quality PJ by analyzing its common complications and their mechanisms, and elaborates on the rationality of pancreatic neck linear stapler closure combined with continuous single-layer PJ.