Prevention of pancreaticojejunal anastomotic leakage after pancreaticoduodenectomy with separate internal drainage of bile and pancreatic fluid.
Hepatobiliary Pancreat Dis Int
; 2(1): 131-4, 2003 Feb.
Article
en En
| MEDLINE
| ID: mdl-14607665
ABSTRACT
OBJECTIVE:
To introduce a new reconstructional procedure to decrease the complications after pancreaticoduodenectomy.METHODS:
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.RESULTS:
No complications of pancreatic leakage were found.CONCLUSION:
The separate internal drainage of bile and pancreatic fluid plays an important role in preventing pancreaticojejunal anastomotic leakage.
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Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Anastomosis Quirúrgica
/
Drenaje
/
Pancreaticoduodenectomía
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Año:
2003
Tipo del documento:
Article