Analysis of influencing factors on surgical outcome and exploration of technical principles during pancreaticojejunostomy / 中华外科杂志
Chinese Journal of Surgery
; (12): 219-222, 2022.
Article
en Zh
| WPRIM
| ID: wpr-935603
Biblioteca responsable:
WPRO
ABSTRACT
Pancreaticojejunostomy is the most common anastomosis following pancreaticoduodenectomy and middle pancreatectomy. The detailed surgical technics of pancreaticojejunostomy vary dramatically, but none of them can achieve zero fistula rate. In recent years,with the development of new surgical concept,application of new surgical technology, high-tech materials and instruments,the incidence of pancreatic fistula has decreased. At the same time,researches on investigating the risk factors of pancreaticojejunostomy are gradually deepening. Based on years of surgical experience on pancreaticojejunostomy and current literatures, this paper analyzes the factors affecting the effect of pancreaticojejunostomy, such as the patient's basic physical state,pancreatic texture and diameter of the pancreatic duct,pathology and course of the disease,surgical technology and perioperative management,and summarizes six technical principles for pancreaticojejunostomy to be shared with surgical comradesappropriate tension,protection of blood supply,hermetic closure of pancreatic section,accurate connection of pancreatic duct and intestinal mucosa,individualization,learning and accumulation of experience.
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
/
Anastomosis Quirúrgica
/
Pancreatoyeyunostomía
/
Fístula Pancreática
/
Resultado del Tratamiento
/
Pancreaticoduodenectomía
Tipo de estudio:
Risk_factors_studies
Límite:
Humans
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Año:
2022
Tipo del documento:
Article