Prevention of pancreaticojejunal anastomotic leakage after pancreaticoduodenectomy with separate internal drainage of bile and pancreatic fluid
Dai, X-Wei.; Ma, K.; Wang, F-Xiang.; Yang, F-Quan.; Wang, B-Sheng.; Zhao, H-Ying.; Sun, W.; Liu, B-Lin.; Qiu, F.; Pu, X-Min.; Wang, L.; Dai, Y.
Hepatobiliary and Pancreatic Diseases International Hbpd Int 2(1): 131-134
2003
ISSN/ISBN: 1499-3872 PMID: 14607665 Document Number: 552534
To introduce a new reconstructional procedure to decrease the complications after pancreaticoduodenectomy. Separate internal drainage of bile and pancreatic fluid in pancreaticoduodenectomy was performed in 256 patients. The digestive tract was reconstructed with Child method, with invaginated pancreaticojejunostomy using a long silastic tube to drain pancreatic fluid internally, an end-to-side choledochojejunostomy and an end-to-side duodenojejunostomy or gastrojejunostomy. Gastrostomy drainage was also performed. No complications of pancreatic leakage were found. The separate internal drainage of bile and pancreatic fluid plays an important role in preventing pancreaticojejunal anastomotic leakage.