Binding pancreaticojejunostomy is a new technique to minimize leakage |
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Authors: | Peng Shuyou Mou Yiping Cai Xiujun Peng Chenghong |
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Institution: | Department of Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Zhejiang Province, People's Republic of, 310009, Hangzhou, China. |
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Abstract: | Pancreaticoduodenectomy (Whipple procedure) has been the standard treatment for periampullary and pancreatic carcinoma. A leak or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to effectively prevent the development of pancreatic fistulae, we designed a special technique called binding pancreaticojejunostomy, by which 3 cm of the serosa-muscular sheath of the jejunum was bound to the pancreatic remnant. We have performed this procedure in 105 consecutive patients; none of the cases developed pancreatic fistula. It is a safe, simple, and efficient technique. |
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Keywords: | Pancreas Surgery Pancreatic leakage Pancreaticoduodenectomy |
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