Prevention of pancreatic leakage af ter pancreaticoduodenectomy by modiifed Child pancreaticojejunostomy

摘要

BACKGROUND: Pancreatic leakage after pancreaticoduo-denectomy is associated with a morbidity and mortality. Different  techniques  have  been  used  to  make  a  safe anastomosis to the left pancreatic remnant. METHODS: We performed "modiifed Child pancreatico-jejunostomy"  for  31  patients,  by  which  end-to-end pancreaticojejunal anastomosis was made with a two-layer polypropylene continuous running suture. RESULTS:In  the  patients  who  underwent  pancreatico-jejunostomy, the average operative time was 14.2 minutes. There  was  no  pancreaticoenterostomy  leakage  in  all patients, and no deaths occurred. CONCLUSIONS:In  pancreaticojejunostomy,  pancreatic anastomosis is time-saving and free from complications. Thus it is an improvement of pancreaticojejunostomy.