[Binding pancreaticojejunostomy: clinical report of 150 cases].
OBJECTIVE
To study the safety and feasibility of a new operative procedure called binding pancreaticojejunostomy (BPJ) used to prevent anastomotic leakage following pancreatoduodenectomy (PD).


METHODS
From 1996 to 2001, a newly developed operative procedure, binding pancreaticojejunostomy, was performed upon 150 cases undergoing PD. The remnant of pancreas was sutured with and invaginated into the jejunum, with the suture needle only penetrating the mucosa and not the seromuscular layer. The mucosa of jejunum near the pancreatic remnant was destroyed by electric coagulation or phenol. The pancreas and jejunum were bound together so that they were pressed close to each other. The clinical data were reviewed and analysed.


RESULTS
The operation of BPJ was performed smoothly on all 150 patients. No pancreatic leakage occurred.


CONCLUSIONS
The BPJ procedure is effective in avoiding anastomotic leakage following PD.
Peng
Shuyou
S
Department of General Surgery, Second Affiliated Hospital, Medical College of Zhejiang University, Hangzhou 310009, China.
Liu
Yingbin
Y
Mou
Yiping
Y
Cai
Xiujun
X
Peng
Chenghong
C
Wu
Yulian
Y
Fang
Heqing
H
Shen
Hongwei
H
D000328:Adult; D000368:Aged; D001661:Biliary Tract Neoplasms / Q000401:mortality / Q000601:surgery; D004067:Digestive System Neoplasms / Q000401:mortality / Q000601:surgery*; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000401:mortality / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000009:adverse effects; D016896:Treatment Outcome