Clinical application of modified pancreaticojejunostomy for pan creat-oduodenectomy
10.3969/j.issn.1009-9905.2018.04.004
- VernacularTitle:改良胰管空肠吻合方式在胰十二指肠切除术中的临床应用
- Author:
Wen-Ying JIANG
1
;
Zhen-Feng WANG
;
Xian-Tao QIN
;
Qing-Jiang ZHI
;
Zhi-Peng JI
;
Jun-Peng CHANG
;
De-Ling SUI
;
Ke WANG
Author Information
1. 山东省聊城市第二人民医院华美院区综合外科 山东临清252600
- Keywords:
Pancreaticoduodenectomy;
Nereaticojejunostomy;
Postoperative complications;
Pancreatie fistula
- From:
Chinese Journal of Current Advances in General Surgery
2018;21(4):267-270
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of modified pancreaticojejun-ostomy on incidence of severe pancreatic fistula after pancreato-duodenecto my.Methods:The clinical data of 64 patients undergoing pancreatoduodenectomy with application of duct-to-mucoca pancreaticcojejunostomy were analyzed retrospectively.Interrupted suture technique and modified technique were performed in 31 and 33 patients,respectively.Postoperative complications,data during and after pan-creatoduodenectomy between two groups were compared.Results:There were no significant differences in intraoperative blood loss,operating time,postoperative morbidity of gastrointestinal,intraabdominal hemorrhage,delayed gastric emptying,and intraabdominal abscess(P＞0.05).Although there was no significant difference in the incidence of postoperative pancreatic fistula (P＞0.05),the grades B/C postoperative pancreatic fistula in modified parachute suture group was significantly less than in interrupted suture group (P＜0.05).Conclusion:Modified pancreaticojejunostomy technique in pancreatoduodenectomy can reduce the incidence of severe postoperativepancreatic fistula.
