title: Prevention of pancreaticojejunal anastomotic leakage after pancreaticoduodenectomy with separate internal drainage of bile and pancreatic fluid.
abstract: 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.
authors: Department of General Surgery, Second Clinical College, China Medical University, Shenyang 110004, China. daixianwei@hotmail.com
authors: Xian-Wei
authors: XW
authors: Dai
authors: Kai
authors: K
authors: Ma
authors: Fu-Xiang
authors: FX
authors: Wang
authors: Fu-Quan
authors: FQ
authors: Yang
authors: Bao-Sheng
authors: BS
authors: Wang
authors: Hai-Ying
authors: HY
authors: Zhao
authors: Wei
authors: W
authors: Sun
authors: Bao-Lin
authors: BL
authors: Liu
authors: Fang
authors: F
authors: Qiu
authors: Xian-Min
authors: XM
authors: Pu
authors: Liang
authors: L
authors: Wang
authors: Yang
authors: Y
authors: Dai
mesh_terms: 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