Pancreaticojejunostomy improved surgical (45 cases).doc

 PAGE \* MERGEFORMAT 8 Pancreaticojejunostomy improved surgical (45 cases) Of: Wang Xinyu Zhou Yinan Li Shoubo [Keywords:] pancreaticoduodenectomy, pancreaticojejunostomy, microsurgery suture Pancreaticoduodenectomy is widely recognized as the preferred treatment method for periampullary carcinoma (1). The procedure is complicated to operate, wide excision, trauma, postoperative complications and mortality. Postoperative pancreatic leakage Pancreaticoduodenectomy is the most serious complications, so prevention of pancreatic leakage is to reduce the mortality of the occurrence of the key, and the incidence of pancreatic leakage of pancreatic anastomosis with surgical treatment are directly related. for the prevention of pancreatic leakage occurred in recent years, scholars of various pancreaticojejunostomy methods of continuous improvement (2,3), significantly reduced the occurrence of pancreatic leakage. I May 2005 to December 2009 using a modified pancreaticojejunostomy ten Traveling pancreatic duodenum resection in 45 cases, intraoperative use of microsurgical techniques for pancreaticojejunostomy do a full range of fine processing, no postoperative pancreatic leakage occurred in 1 case, the effect is good. 1 Clinical data 1.1 General Information 45 patients were operated, 32 males and 13 females, aged 45 to 78 years old. Which 15 cases of pancreatic cancer, ampullary carcinoma in 12 cases, 10 cases of carcinoma of lower bile duct, duodenum cancer, 8 cases were performed pancreaticoduodenectomy. All patients had varying degrees of jaundice, weight loss, back pain, loss of appetite, abdominal pain, fatigue and other symptoms, except for 2 patients with duodenal carcinoma, while endoscopy with biopsy were pathological diagnosis, the remaining cases by abdominal ultrasonography, CT, MRI, or ERCP corresponding positive findings. All cases were confirmed by intraoperative or postoperative pathology confirmed. 1.2 Improved method of pancreat