[Protection of the pancreaticojejunal anastomosis after cephalic duodenopancreatectomy for tumor].
The main risk in cephalic duodeno-pancreatectomy for cancer is disruption of the anastomosis between the jejunum and the fragile pancreatic isthmus, as it may result in pancreato-biliary fistula with highly damaging local and regional repercussions. This risk can be reduced by inserting a 60 cm jejunal loop between the pancreatic and biliary anastomoses. The loop prevents biliary reflux and turns any possible disruption into a pure pancreatic fistula, better tolerated. The authors have used this techniques in 20 consecutive patients. The mortality rate was nil. In each of the four-fistulae that occurred, discharge of pancreatic juice ceased within 3 weeks.
D004386:Duodenum / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control
Protection de l'anastomose pancréato-jéjunale après duodéno-pancréatectomie céphalique pour tumeur.