Prevention of pancreaticojejunal anastomotic leakage after pancreaticoduodenectomy with separate internal drainage of bile and pancreatic fluid

作     者：Xian-Wei Dai Kai Ma Fu-Xiang Wang Fu-Quan Yang Bao-Sheng Wang Hai-Ying Zhao Wei Sun Bao-Lin Liu Fang Qiu Xian-Min Pu Liang Wang Yang Dai 

作者机构：Department of General Surgery Second Clinical College China Medical University Shenyang 110004 China. daixianwei@*** 

出 版 物：《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志（英文版）)

年 卷 期：2003年第2卷第1期

页      面：131-134页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：pancreaticoduodenectomy reconstruction internal drainage invaginated pancreaticojejunostomy pancreatic leakage gastrostomy drainage 

摘      要：OBJECTIVE: To introduce a new reconstructional procedure to deerease the complications ***: Separate internal drainage of bile and pancreatic fluid in pancreaticiduodenectomy wasperformed in 256 patients. The digestive tract was reconstructed with Child method, with invaginatedpancreaticojejunostomy using a long silastic tube to drain pancreatic fluid internally, an end-to-sidecholedochojejunostomy and an end-to-side duodenojejunostomy or gastrojejunostomy. Gastrostomy drainagewas also ***: No complications of pancreatic leakage were ***: The separate internal drainage of bile and pancreatic fluid plays an important role inpreventing pancreaticojejunal anastomotic leakage.