Abstract
The aim of this paper is to summarize the methods of pancreaticojejunostomy in the pancreatic operation and to study the safety and feasibility of a new operative method called end-to-end invagination pancreaticojejunostomy with circle discontinuous U suture to prevent fistula of pancreaticojejunostomy. Eight-three patients with pancreaticoduodenectomy in the 3rd Hospital, Jilin University from 2001 January to 2006 April were reviewed. The incidences of pancreatic fistula with different types of pancreaticojejunostomy were compared. The overall incidence rate of pancreatic fistula was 26.5% (22/83). No pancreatic fistula occurred in end-to-end invagination pancreaticojejunostomy with circle discontinuous U suture. The incidence rate of the fistula following end-to-end invagination pancreaticojejunostomy with circle discontinuous U suture was significantly lower than that of traditional end-to-end pancreaticojejunostomy [40%, (10/25), P<0.01] and end-to-side pancreaticojejunostomy [27.3%, (12/44), P<0.05], but no significant difference (P>0.05) between traditional end-to-end pancreaticojejunostomy and end-to-side pancreaticojejunostomy was discovered. End-to-end invagination pancreaticojejunostomy with circle discontinuous U suture has a definite effect on avoiding pancreatic fistula following pancreaticojejunostomy and is worth being recommended. But the cases were limited, so this method would still need to be observed and confirmed further in the future.
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Reference
Li J S. Operations: General Surgery. 2nd ed. Beijing: People’s Military Medical Press, 2001, 959–979
Yeo C J, Cameron J L, Sohn T A, Lillemoe K D, Pitt H A, Talamini M A, Hruban R H, Ord S E, Sauter P K, Coleman J, Zahurak M L, Grochow L B, Abrams R A. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Ann Surg, 1997, 226(3): 248–257; discussion 257–260
Yeo C J, Cameron J L, Maher M M, Sauter P K, Zahurak M L, Talamini M A, Lillemoe K D, Pitt H A. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy. Ann Surg, 1995, 222(4): 580–588, discussion 588–592
Staley C A, Lee J E, Cleary K R, Abbruzzese J L, Fenoglio C J, Rich T A, Evans D B. Preoperative chemoradiation, pancreaticoduodenectomy and intraoperative radiation therapy for adenocarcinoma of pancreatic head. Am J Surg, 1996, 171(1): 118–124; discussion 124–125
Matsumoto Y, Fujii H, Miura K, Inoue S, Sekikawa T, Aoyama H, Ohnishi N, Sakai K, Suda K. Successful pancreaticojejunal anastomosis for pancreaticoduodenectomy. Surg Gynecol Obstet, 1992, 175(6): 555–562
Marcus S G, Cohen H, Ranson J H. Optimal management of the pancreatic remnant after pancreaticoduodenectomy. Ann Surg, 1995, 221(6): 635–645, discussion 645–648
Sato N, Yamaguchi K, Chijiiwa K, Tanaka M. Risk analysis of pancreatic fistula after pancreatic head resection. Arch Surg, 1998, 133(10: 1094–1098
Zhu L Y, Ma C, Ji D G, et al. The intubation in end-to-side pancreaticojejunostomy prevent fistula of pancreaticojejunostomy after Whipple operation. J Hepatobil Surg, 1999, 7(5): 359–360
Zhao P, Cai L X, Zhong S X, et al. Analysis of etiopathogenisis and pathogenesy on 94 cases of pancreaticojejunal fistula. Chin J Prac Surg, 1994, 14(8): 478–480
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Zhang, X., Xuan, W., Jiang, T. et al. Effect of end-to-end invagination pancreaticojejunostomy with circle discontinuous U suture in pancreatic surgery. Front. Med. China 1, 46–48 (2007). https://doi.org/10.1007/s11684-007-0009-3
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DOI: https://doi.org/10.1007/s11684-007-0009-3