Pancreatic duct external drainage and enteral nutrition on pancreaticoduodenectomy complications of.docVIP

 PAGE \* MERGEFORMAT 6 Pancreatic duct external drainage and enteral nutrition on pancreaticoduodenectomy complications of [Keywords:] pancreatic duct drainage of enteral nutrition, complications of pancreaticoduodenectomy First Affiliated Hospital of our institute between 2003 and 2007 completed a total of 31 cases of pancreaticoduodenectomy in the surgical procedures are applied outside the pancreatic duct drainage and enteral nutrition techniques to prevent complications. Are now working on 31 patients were retrospectively analyzed to explore the pancreatic duct external drainage and enteral nutrition technologies for the prevention of complications of pancreaticoduodenectomy value. 1 Data and methods 1.1 General Information The group of 31 cases, 19 males and 12 females, aged 29 to 72 years, mean 55.3 years. In which 13 cases of pancreatic cancer, ampullary carcinoma in 7 cases, middle and lower bile duct cancer, 9 cases of duodenal tumors in 2 cases. All confirmed by pathology. 1.2 surgical First determine whether the tumor resection and extent of resection, followed by removal of the stomach about 50%, cross-sectional common bile duct on the left side of the superior mesenteric vein transected pancreas, duodenum separation of paragraph 4, and finally the duodenum, common bile duct, pancreatic head and distal stomach en bloc resection. Conventional free pancreatic stump 2 ~ 3cm, upper and lower edge of the pancreas stump 4 thread ‘8 ‘suture, can stop bleeding, but also cut off the small pancreatic duct ligation. Select a length 40cm, thickness approximately the pancreatic duct similar to silica gel tube, multiple side holes cut in the pancreatic duct-enteric anastomosis before the insertion of about 4 ~ 5cm, and to No. 1 silk suture with the pancreatic duct at the upper edge of the fixed a needle, Then from the pancreatic anastomosis intestinal 12cm, biliary-enteric anastomosis distal from intestine to bring out the intestinal wall and tunnel embedd