[Protection of the anastomosis by a special drainage procedure in the Kausch-Whipple operation].
The pancreaticojejunostomy after duodenopancreatectomy is the "achilles heel" of the procedure. We describe herein a technique for percutaneous drainage of the efferent limb of the Roux-en-Y loop relieving tension from the anastomosis. 66 Whipple procedures have been carried out using this technique. Operative mortality was 1.5% and anastomotic leakage occurred in 2 cases (3%). In addition one patient had to be reoperated for biliary fistula. Our technique for intraluminal loop drainage is a safe and reliable method for protection of the pancreaticojejunostomy.
Chirurgische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Standort Charlottenburg, Berlin.
H
H
Keck
R
R
Steffen
W
W
Waluja
P
P
Neuhaus
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000601:surgery*; D000713:Anastomosis, Roux-en-Y / Q000379:methods; D000714:Anastomosis, Surgical / Q000379:methods*; D002768:Choledochostomy / Q000379:methods*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*
Anastomosenprotektion durch ein spezielles Drainageverfahren bei der Kausch-Whipple-Operation.