Prevention of pancreatic leakage after pancreaticoduodenectomy by modified Child pancreaticojejunostomy.
BACKGROUND
Pancreatic leakage after pancreaticoduodenectomy is associated with a morbidity and mortality. Different techniques have been used to make a safe anastomosis to the left pancreatic remnant.


METHODS
We performed "modified Child pancreaticojejunostomy" for 31 patients, by which end-to-end pancreaticojejunal anastomosis was made with a two-layer polypropylene continuous running suture.


RESULTS
In the patients who underwent pancreaticojejunostomy, the average operative time was 14.2 minutes. There was no pancreaticoenterostomy leakage in all patients, and no deaths occurred.


CONCLUSIONS
In pancreaticojejunostomy, pancreatic anastomosis is time-saving and free from complications. Thus it is an improvement of pancreaticojejunostomy.
Yang
Yan-Ling
YL
Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China. yangylfmmu@yahoo.com.cn
Xu
Xiao-Ping
XP
Wu
Guo-Qiang
GQ
Yue
Shu-Qiang
SQ
Dou
Ke-Feng
KF
D001650:Bile Duct Neoplasms / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000601:surgery*; D006801:Humans; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000009:adverse effects / Q000379:methods*; D011126:Polypropylenes; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome
D011126:Polypropylenes