Second-stage pancreatojejunostomy following pancreatoduodenectomy in high-risk patients.
Tube pancreatostomy for complete external drainage of pancreatic juice following pancreatoduodenectomy and a subsequent second-stage pancreatojejunostomy were carried out in four high-risk patients without morbidity. This procedure avoids the fatal outcome associated with pancreatojejunal anastomotic leakage following pancreatoduodenectomy in emergency and high-risk cases.
Miyagawa
S
S
First Department of Surgery, Shinshu University, School of Medicine, Matsumoto, Japan.
Makuuchi
M
M
Kawasaki
S
S
Ogiwara
M
M
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D004322:Drainage / Q000379:methods; D004630:Emergencies; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D010179:Pancreas / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D010193:Pancreaticojejunostomy / Q000379:methods*; D012086:Reoperation / Q000379:methods; D012307:Risk Factors; D013536:Suture Techniques