[Controlled fistula of Wirsung's duct].
In order to prevent the serious pancreatic fistulae which complicate anastomoses between the pancreatic tail and a jejunal loop after cephalic duodenopancreatectomy, we propose a pancreatic fluid derivation on a temporary drain equivalent to a controlled fistula of Wirsung's duct. This already known technique consists of a punctiform anastomosis on an Escat's supporting drain between the main pancreatic duct and the jejunum. No complication occurs when the drain is removed 12 days later, as shown by a series of 24 cephalic duodeno-pancreatectomies where this technique was used.
D004322:Drainage / Q000379:methods; D004386:Duodenum / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery; D010180:Pancreatectomy; D010183:Pancreatic Ducts / Q000601:surgery*; D010185:Pancreatic Fistula / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control
La fistule dirigée du canal de Wirsung.