Enteric reconstruction of pancreatic stump following pancreaticoduodenectomy: a review of the literature.
Techniques for reconstruction of pancreatic stump with gastrointestinal tract following pancreaticoduodenectomy are closely related to postoperative complications, mortality and quality of life. In order to reduce postoperative complications, particularly pancreatic fistula, many modifications and new surgical techniques have been proposed to replace the traditional pancreaticojejunostomy and pancreaticogastrostomy. The objective of this review, based on large prospective randomized trials and meta-analyses, is to evaluate the different techniques of enteric reconstruction of pancreatic stump following pancreaticoduodenectomy, including: invagination pancreaticojejunostomy, binding pancreaticojejunostomy, duct-to-mucosa pancreaticojejunostomy, Roux-en-Y pancreaticojejunostomy, and pancreaticogastrostomy, so as to provide a comprehensive comparison of these techniques and to assess of their roles and effectiveness.
Department of General Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei Province, China. Electronic address: chenyongjun45@126.com.
Yong-jun
YJ
Chen
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chaiwan, Hong Kong, China. Electronic address: ericlai@alumni.cuhk.edu.hk.
Eric C H
EC
Lai
Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China. Electronic address: josephlau@cuhk.edu.hk.
Wan-Yee
WY
Lau
Department of General Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei Province, China. Electronic address: chenxpchenxp@163.com.
Xiao-ping
XP
Chen
D000714:Anastomosis, Surgical; D006801:Humans; D007422:Intestines / Q000601:surgery*; D010179:Pancreas / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D010193:Pancreaticojejunostomy / Q000009:adverse effects* / Q000379:methods*; D019651:Plastic Surgery Procedures; D013270:Stomach / Q000601:surgery*
Enteric reconstruction; Pancreaticoduodenectomy; Pancreaticogastrostomy; Pancreaticojejunostomy