External pancreatic duct intubation - jejunum anastomosis four-point analysis of 31 cases.docVIP

 PAGE \* MERGEFORMAT 9 External pancreatic duct intubation - jejunum anastomosis four-point analysis of 31 cases [Abstract] Objective: To analyze 31 cases of pancreatoduodenectomy in patients with pancreatic duct outside the home to prevent pancreatic leakage in drainage. Methods: From October 2003 to April 2007 Line 31 pancreaticoduodenectomy cases, of which 22 cases of pancreatic cancer, bile duct cancer and duodenal cancer in paragraph 9 cases of .31 cases are used Prolene lane pancreaticojejunostomy, pancreatic duct by jejunal lumen silicone tube inserted into small drainage, since the intestinal wall loop stamp record leads the abdominal wall and bowel loops and abdominal wall wound sidewall between the fixed stamp. Results: There was no pancreatic leakage occurred in 1 case, 1 patient with a small amount of intra-abdominal bleeding cured by conservative treatment. Conclusion: pancreaticojejunostomy in the intestine by external drainage of the pancreatic duct intubation to prevent the occurrence of pancreatic leakage is possible that the surgical prevention of further clinical studies can be used as the incidence of pancreatic leakage to provide practical basis. [Keywords:] Pancreaticoduodenectomy; pancreaticojejunostomy; duct external drainage tube; pancreatic leakage Pancreatic resection (pancreaticoduodenectomy, PD) for a wide range of resection, reconstruction and more consistent, surgical trauma and postoperative complications has been maintained at a high level, up 25% to 35% [1]. The main complications include : pancreatic leakage, biliary fistula, gastrointestinal anastomotic leakage, delayed gastric emptying and gastrointestinal bleeding. which is a pancreatic fistula after pancreatoduodenectomy serious complications and one of the major causes of death, incidence of 5% ~ 10%, while the death rate can be as high as 25% [2]. So how is the surgery to prevent pancreatic leakage have been the focus of academic research. This paper summarizes