Prevention of pancreaticojejunal anastomotic leakage after pancreaticoduodenectomy with separate internal drainage of bile and pancreatic fluid.
OBJECTIVE
To introduce a new reconstructional procedure to decrease the complications after pancreaticoduodenectomy.


METHODS
Separate internal drainage of bile and pancreatic fluid in pancreaticoduodenectomy was performed in 256 patients. The digestive tract was reconstructed with Child method, with invaginated pancreaticojejunostomy using a long silastic tube to drain pancreatic fluid internally, an end-to-side choledochojejunostomy and an end-to-side duodenojejunostomy or gastrojejunostomy. Gastrostomy drainage was also performed.


RESULTS
No complications of pancreatic leakage were found.


CONCLUSIONS
The separate internal drainage of bile and pancreatic fluid plays an important role in preventing pancreaticojejunal anastomotic leakage.
Dai
Xian-Wei
XW
Department of General Surgery, Second Clinical College, China Medical University, Shenyang 110004, China. daixianwei@hotmail.com
Ma
Kai
K
Wang
Fu-Xiang
FX
Yang
Fu-Quan
FQ
Wang
Bao-Sheng
BS
Zhao
Hai-Ying
HY
Sun
Wei
W
Liu
Bao-Lin
BL
Qiu
Fang
F
Pu
Xian-Min
XM
Wang
Liang
L
Dai
Yang
Y
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D001646:Bile; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010189:Pancreatic Juice; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome