ObjectiveTo investigate the effect of drained versus nondrained pancreaticojejunostomy on prevention of the pancreatic leakage after pancreaticoduodenectomy. MethodsSeventysix patients underwent the standard pancreaticoduodenectomy including resection of the distal stomach,common bile duct, the head of pancreas and the duodenum.Pancreaticenteric reconstruction was accomplished via either pancreaticojejunostomy by endtoside anastomsis or pancreaticojejunostomy by ducttomucosa anastomsis.The stented external drainage of pancreatic duct was used in 45 of 76 patients. ResultsPancreatic leakage was identified in 1 patient in the drained group consisting of 45 patients,in 7 patients in the nondrained group consisting of 31 patients, the incidence of pancreatic leakage in the drained group (2.2%) was significantly less than in the nondrained group (22.6%,P＜0.05).ConclusionComparing the incidences of pancreatic leakage from both groups,the authors believe that the stented external drainage of pancreatic duct can significantly reduce the incidence of pancreatic leakage after pancreaticoduodenectomy.
Citation：
SUN Biansheng,YANG Hanxin,WANG Yongqiang,et al. The Clinical Significance of Drained Versus Nondrained Pancreaticojejunostomy in Prevention of the Pancreatic Leakage after Pancreaticoduodenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(2): 118-120. doi:
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Fernandezdel Castillo C,Rattner DW,Warshaw AL. Standards for pancreatic resection in the 1990s [J].Arch Surg,1995; 130(3)∶295.
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- 1. Ohwada S,Ogawat T,Kawate S,et al. Results of ducttomucosa pancreaticojejunostomy for pancreaticoduodenectomy Billroth I type reconstruction in 100 consecutive patients [J].J Am Coll Surg,2001; 193(1)∶29.
- 2. Okamato A,Tsuruta K. Fistulation method: simple and safe pancreaticojejunostomy after pancreaticoduodenectomy [J].Surgery,2000; 127(4)∶433.
- 3. Yeo CJ,Cameron JL,Sohn TA,et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s [J].Ann Surg,1997; 226(3)∶248.
- 4. Roder SD,Stein HJ,Bottcher KA,et al. Stented versus nonstented pancreaticojejunostomy after pancreatoduodenectomy [J].Ann Surg,1999; 229(1)∶41.
- 5. Marcus SG,Cohen H,Ranson JHC. Optimal management of the pancreatic remnant after pancreaticoduodenectomy [J].Ann Surg,1995; 221(6)∶635.
- 6. Fernandezdel Castillo C,Rattner DW,Warshaw AL. Standards for pancreatic resection in the 1990s [J].Arch Surg,1995; 130(3)∶295.
- 7. Miyagawa S,Makuuchi M,Kawasaki S,et al. Secondstage pancreatojejunostomy following pancreatoduodenectomy in highrisk patients [J].Am J Surg,1994; 168(1)∶66.
