One-layer pancreaticojejunostomy for prevention of pancreatic fistulae

作     者：Zhi-Min Liu Wei-Jian Yang Yan-Chang Feng 

作者机构：Department of General Surgery Zibo Municipal Central Hospital Binzhou Medical College Zibo 255036 China. liuzhimin77@*** 

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

年 卷 期：2004年第3卷第1期

页      面：140-143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：one-layer, pancreaticojejunostomy pancreaticoduodenectomy 

摘      要：BACKGROUND: Anastomotic leakage at the pancreaticojejunostomy remains a common and dreaded complication after pancreaticoduodenectomy. This study was to introduce a method for lowering the mortality, morbidity, and other postoperative complications after pancreaticoduodenectomy. METHODS: From January 1991 to December 2001, twenty-six patients were treated using one-layer pancreaticojejunostomy. The mean age of these patients was 52.3 years. Some of these patients were complicated by hypoproteinemia, anemia and jaundice. All patients were subjected to pancreaticoduodenectomy, reconstruction of the digestive tract by Child s method, and one-layer or Braun s anastomosis after pancreaticojejunostomy, choledochojejunostomy, and gastrojejunostomy. RESULT: No death and pancreatic fistula were observed after operation. CONCLUSION: One-layer pancreaticojejunostomy is simple and safe.