Pancreatic duct occlusion following duodeno-pancreatectomy in cancer surgery
Wittrin, G.; Jost, J.O.; Clemens, M.; Arndt, M.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 52(3): 157-159
1981
ISSN/ISBN: 0009-4722 PMID: 7226995 Document Number: 175310
In 19 patients with a carcinoma of the pancreas an intraoperative occlusion of the pancreatic duct was performed with a partial duodenopancreatectomy by instillation of Ethibloc. In 13 cases a carcinoma of the papilla and in 6 cases a carcinoma of the head of pancreas were found. In two cases the duct was primarily closed by suture, which was followed by a pancreatic fistula that disappeared after 2 weeks. Therefore, a pancreaticojejunal anastomosis was performed in the other patients. One patient died owing to a total necrosis of the remaining pancreas, but no other local complications were seen at the time of pancreatic anastomosis. Lethality was approximately 5% and was therefore significantly lower than in other reports.