A modification of isolated Roux loop reconstruction after pancreaticoduodenectomy.
Aust N Z J Surg
; 69(5): 363-4, 1999 May.
Article
em En
| MEDLINE
| ID: mdl-10353552
ABSTRACT
BACKGROUND:
Different techniques of reconstruction following pancreaticoduodenectomy have been described. A new modification using an isolated Roux-en-Y loop is reported.METHODS:
The isolated loop is taken up to bile duct rather than pancreas as previously described.RESULTS:
Seventeen patients have undergone this procedure. Two pancreatic fistulae developed, both following postoperative abscess formation. There was no operative mortality.CONCLUSION:
This reconstruction provides separation of biliary and pancreatic fluid but adds two further benefits the wide jejunal lumen allows for an easier pancreaticojejunal anastomosis, particularly when operating on a soft pancreas, and separation of gastric and biliary anastomoses prevents the efflux of bile into stomach.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ductos Biliares
/
Pancreaticoduodenectomia
/
Procedimentos de Cirurgia Plástica
Limite:
Aged
/
Humans
Idioma:
En
Revista:
Aust N Z J Surg
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Austrália
País de publicação:
AU
/
AUSTRALIA
/
AUSTRÁLIA