A new feasible technique of mesh-reinforced pancreatojejunostomy and pancreatogastrostomy: retrospective analysis of 61 cases.
BACKGROUND
Pancreatic leak was the major concern after pancreatoduodenectomy.


METHODS
A total of 61 patients who underwent mesh-reinforced pancreatojejunostomy or pancreatogastrostomy from August 2005 to November 2011 were retrospectively analyzed.


RESULTS
The mean anastomosis time of mesh-reinforced pancreatojejunostomy was 25 minutes ranging from 22 to 35 minutes. In mesh-reinforced pancreatogastrostomy, the mean anastomosis time ranged from 20 to 38 minutes with an average of 30 minutes. Blood loss was 200 to 4,000 ml with an average of 710 ml in all patients. There was one case of pancreatic leak of Class A, three cases of pancreatic leak of Class B, one case of pancreatic leak of Class C, one case of choledochojejunostomy leakage, one case of gastrojejunostomy leakage, and three cases of abdominal bleeding.


CONCLUSIONS
As a new technique, mesh-reinforced pancreatojejunostomy and pancreatogastrostomy might be a safe and feasible procedure to prevent postoperative pancreatic leak.


BACKGROUND
This research is waivered from trial registration because it was a retrospective analysis of medical records.
Department of General Surgery, Sir Run Run Shaw Hospital, Medical School, Zhejiang University, Institute of Micro-invasive Surgery of Zhejiang University, No.3, Qin Chun Road, Hangzhou, China.
Xianfa
X
Wang
Ying
Y
Xin
Junhai
J
Pan
Nengyun
N
Zhang
Wei
W
Zhou
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D057868:Anastomotic Leak / Q000517:prevention & control*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D004379:Duodenal Neoplasms / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010179:Pancreas / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000295:instrumentation / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*; D013526:Surgical Mesh; D016896:Treatment Outcome