Preliminary study of double pancreaticojejunostomy for prevention of pancreatic fistulas after central pancreatectomy
10.3760/cma.j.issn.1674-6090.2019.06.010
- VernacularTitle: 胰肠双吻合预防胰腺中段切除术后胰瘘发生的初步研究
- Author:
Xingkai MENG
1
;
Huijun WANG
;
Quanfa TIAN
;
Weihua ZHENG
;
Junjing ZHANG
Author Information
1. Department of Hepatobiliary Surgery, the Affiliated Hospital of Inner Mongolia Medical University, Huhhot 010050, China
- Publication Type:Journal Article
- Keywords:
Invaginated pancreaticojejunal anastomosis;
Central pancreatectomy;
Tumor of pancreatic neck and body;
Pancreatic fistula
- From:
Chinese Journal of Endocrine Surgery
2019;13(6):488-491
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the significance of double pancreatico-jejunostomy in preventing pancreatic fistula after central pancreatectomy (CP) .
Methods:The clinical data of 10 patients who were admitted to the Affiliated Hospital of Inner Mongolia Medical University from Feb. 2012 to Dec. 2018 were analyzed retrospectively.
Results:All the 10 patients underwent CP, closure of the proximal pancreatic stump, and end-to-side invaginated pancreaticojejunostomy; At the same time, invaginated pancreaticojejunal anastomosis or duct-to-mucosa pancreaticojejunostomy was performed to the distal pancreatic remnant. The duration of the operation was (240±60) min, and the average intraoperative blood loss was 300 ml. Incidence of pancreatic fistulas was 30% (3/10) . There were no grade B or C pancreatic fistulas, or perioperative deaths. The duration of postoperative hospital stay varied from 9 to 25 days. Endocrine and exocrine functions were well maintained during the follow-ups of 7 months to 5 years, and no tumors recurred.
Conclusions:Although operation time and technical difficulty increase, central pancreatectomy using double pancreaticojejunostomy is safe, feasible, and appears to be associated with a low rate of postoperative pancreatic fistulas.
