title: Pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction for benign pancreatic diseases.
abstract: Surgery such as digestive tract reconstruction is usually required for pancreatic trauma and severe pancreatitis as well as malignant pancreatic lesions. The most common digestive tract reconstruction techniques (e.g., Child's type reconstruction) for neoplastic diseases of the pancreatic head often encompass pancreaticojejunostomy, choledochojejunostomy and then gastrojejunostomy with pancreaticoduodenectomy, whereas these techniques may not be applicable in benign pancreatic diseases due to an integrated stomach and duodenum in these patients. In benign pancreatic diseases, the aforementioned reconstruction will not only increase the distance between the pancreaticojejunostomy and choledochojejunostomy, but also the risks of traction, twisting and angularity of the jejunal loop. In addition, postoperative complications such as mixed fistula are refractory and life-threatening after common reconstruction procedures. We here introduce a novel pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction in two cases of benign pancreatic disease, thus decreasing not only the distance between the pancreaticojejunostomy and choledochojejunostomy, but also the possibility of postoperative complications compared to common reconstruction methods. Postoperatively, the recovery of these patients was uneventful and complications such as bile leakage, pancreatic leakage and digestive tract obstruction were not observed during the follow-up period.
authors.affiliation: Chang-Ku Jia, Xue-Fei Lu, Qing-Zhuang Yang, Jie Weng, You-Ke Chen, Yu Fu, Department of Hepatobiliary Pancreatic Surgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan Province, China.
authors.forename: Chang-Ku
authors.initials: CK
authors.lastname: Jia
authors.affiliation: Chang-Ku Jia, Xue-Fei Lu, Qing-Zhuang Yang, Jie Weng, You-Ke Chen, Yu Fu, Department of Hepatobiliary Pancreatic Surgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan Province, China.
authors.forename: Xue-Fei
authors.initials: XF
authors.lastname: Lu
authors.affiliation: Chang-Ku Jia, Xue-Fei Lu, Qing-Zhuang Yang, Jie Weng, You-Ke Chen, Yu Fu, Department of Hepatobiliary Pancreatic Surgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan Province, China.
authors.forename: Qing-Zhuang
authors.initials: QZ
authors.lastname: Yang
authors.affiliation: Chang-Ku Jia, Xue-Fei Lu, Qing-Zhuang Yang, Jie Weng, You-Ke Chen, Yu Fu, Department of Hepatobiliary Pancreatic Surgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan Province, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Weng
authors.affiliation: Chang-Ku Jia, Xue-Fei Lu, Qing-Zhuang Yang, Jie Weng, You-Ke Chen, Yu Fu, Department of Hepatobiliary Pancreatic Surgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan Province, China.
authors.forename: You-Ke
authors.initials: YK
authors.lastname: Chen
authors.affiliation: Chang-Ku Jia, Xue-Fei Lu, Qing-Zhuang Yang, Jie Weng, You-Ke Chen, Yu Fu, Department of Hepatobiliary Pancreatic Surgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan Province, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Fu
mesh_terms: D000208:Acute Disease; D000713:Anastomosis, Roux-en-Y; D049448:Cholangiopancreatography, Magnetic Resonance; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000601:surgery*; D010193:Pancreaticojejunostomy; D019651:Plastic Surgery Procedures; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000175:diagnosis / Q000601:surgery*
keywords: Digestive tract reconstruction; Pancreatic trauma; Pancreatitis