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首页> 外文期刊>Updates in Surgery >A modified technique of pancreaticojejunostomy after pancreatoduodenectomy: a preliminary experience
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A modified technique of pancreaticojejunostomy after pancreatoduodenectomy: a preliminary experience

机译：胰十二指肠切除术后改良的胰空肠造口术的初步经验

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摘要

Pancreatoduodenectomy currently represents the treatment of choice for resectable pancreatic and periampullary malignant tumours, symptomatic chronic pancreatitis, duodenal cystic dystrophy, large adenomas, diverticula and benign periampullary tumours. Pancreato-jejunostomy failure remains the main complication following pancreatoduodenectomy, even leading to death. To improve the safety of this anastomosis, a modified technique of pancreato-jejunal anastomosis with posterior double-layer suture and Wirsung duct evagination is proposed. We report our experience in eight consecutive patients (4 females, 4 males; average age 66, range 57–74) undergoing Traverso-Longmire pylorus-preserving pancreatoduodenectomy using Wirsung duct evagination and posterior double-layer suture technique. There was no mortality; the post-operative recovery was uneventful with no pancreatic anastomotic leakage. The mean post-operative stay was 15 days (range 12–19). This proposed procedure could be considered an additional opportunity in the performance of a pancreato-enteric anastomosis, yielding good results and preserving from post-operative pancreatic ductal obstruction.
机译：胰十二指肠切除术目前代表可切除的胰腺和壶腹周围恶性肿瘤，有症状的慢性胰腺炎，十二指肠囊性营养不良，大腺瘤，憩室和良性壶腹周围肿瘤的治疗选择。胰空肠造口术失败仍然是胰十二指肠切除术后的主要并发症，甚至导致死亡。为了提高这种吻合术的安全性，提出了一种改良的胰空肠吻合术，该技术采用后双层缝合线和Wirsung导管迷走术。我们报告了我们的八例连续患者（4例女性，4例男性；平均年龄66岁，范围57-74），他们接受了Wirsung导管迷走术和后双层缝合技术，进行了保留Traverso-Longmire幽门的胰十二指肠切除术。没有死亡率。术后恢复平稳，无胰腺吻合口漏。术后平均停留时间为15天（范围12-19）。提议的程序可以被认为是胰腺-肠吻合术的一个额外机会，可以产生良好的效果并可以防止术后胰管阻塞。

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  • 来源
    《Updates in Surgery》 |2011年第4期|287-291|共5页
  • 作者

    Mario Testini; Giuseppe Piccinni; Luigi Greco; Germana Lissidini; Angela Gurrado; Riccardo Memeo; Ilaria Fabiola Franco; Vincenzo Memeo;

  • 作者单位

    Unit of Endocrine Digestive and Emergency Surgery Unit Department of Biomedical Sciences and Human Oncology University Medical School of Bari Policlinico P. zza G. Cesare 70124 Bari Italy;

    Unit of Endocrine Digestive and Emergency Surgery Unit Department of Biomedical Sciences and Human Oncology University Medical School of Bari Policlinico P. zza G. Cesare 70124 Bari Italy;

    Unit of General Surgery and Liver Transplantation Department of Emergency and Organ Transplantation University Medical School of Bari Bari Italy;

    Unit of Endocrine Digestive and Emergency Surgery Unit Department of Biomedical Sciences and Human Oncology University Medical School of Bari Policlinico P. zza G. Cesare 70124 Bari Italy;

    Unit of Endocrine Digestive and Emergency Surgery Unit Department of Biomedical Sciences and Human Oncology University Medical School of Bari Policlinico P. zza G. Cesare 70124 Bari Italy;

    Unit of General Surgery and Liver Transplantation Department of Emergency and Organ Transplantation University Medical School of Bari Bari Italy;

    Unit of Endocrine Digestive and Emergency Surgery Unit Department of Biomedical Sciences and Human Oncology University Medical School of Bari Policlinico P. zza G. Cesare 70124 Bari Italy;

    Unit of General Surgery and Liver Transplantation Department of Emergency and Organ Transplantation University Medical School of Bari Bari Italy;

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  • 正文语种 eng
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  • 关键词

    Pancreatoduodenectomy; Panreatico-jejunal anastomosis; Pancreatic stump; Pancreatic remnant; Pancreatic surgery;

    机译：胰十二指肠切除术;胰空肠吻合术;胰残端;胰腺残余;胰腺手术;

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