Prevention and management of pancreatic fistula after pancreatoduodenectomy with precise and comprehensive opinion
10.3760/cma.j.cn115610-20230401-00143
- VernacularTitle:精准联合综合策略防治胰十二指肠切除术后胰瘘
- Author:
Liang LIU
1
;
Zhihang XU
;
Wenquan WANG
;
Wenhui LOU
Author Information
1. 复旦大学附属中山医院胰腺外科，上海 200032
- Keywords:
Pancreatic neoplasms;
Pancreatoduodenectomy;
Pancreatic fistula;
Preci-sion;
Comprehensive;
Prevention and management
- From:
Chinese Journal of Digestive Surgery
2023;22(5):657-662
- CountryChina
- Language:Chinese
-
Abstract:
Pancreaticoduodenectomy (PD) is a major operation of abdominal surgery, with high risk, complex operation, more complications and high mortality. Pancreatic fistula is the main cause of death after PD. Due to its complexity and obstinacy, pancreatic fistula has become the top challenge of pancreatic surgery. The authors review the relevant literature and summarize the prevention and management of pancreatic fistula after PD, such as the optimization strategies for pancreatic anastomosis, the use of external stents, prophylactic drains in surgical field, the applica-tion of somatostatin and its analogues, and whole-course nutrition management, based on the precise and comprehensive opinion, in order to provide reference for improving the prevention and treatment of pancreatic fistula after PD.
