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| Prevention of pancreaticojejunal anastomotic leakage after pancreaticoduodenectomy with separate internal drainage of bile and pancreatic fluid |
| Xian-Wei Dai, Kai Ma, Fu-Xiang Wang, Fu-Quan Yang, Bao-Sheng Wang, Hai-Ying Zhao, Wei Sun, Bao-Lin Liu, Fang Qiu, Xian-Min Pu, Liang Wang and Yang Dai |
Shenyang and Xingcheng, China
From the Department of General Surgery, Second Clinical College, China Medical University, Shenyang 110004, China (Dai XW, Ma K, Yang FQ, Wang BS, Zhao HY, Sun W, Liu BL, Qiu F, Pu XM, Wang L and Dai Y); Department of Surgery, Xingcheng Central Hospital, Xingcheng 125100, China (Wang FX)
Correspondence: Xian-Wei Dai, MD (Tel: 86-24-83956216 ext 6490; Fax: 86-24-83951793; Email: daixianwei@hotmail.com) |
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Abstract OBJECTIVE: To introduce a new reconstructional procedure to decrease the complications after pancreaticoduodenectomy.
METHODS: Separate internal drainage of bile and pancreatic fluid in pancreaticoduodenectomy was performed in 256 patients. The digestive tract was reconstructed with Child method, with invaginated pancreaticojejunostomy using a long silastic tube to drain pancreatic fluid internally, an end-to-side choledochojejunostomy and an end-to-side duodenojejunostomy or gastrojejunostomy. Gastrostomy drainage was also performed.
RESULTS: No complications of pancreatic leakage were found.
CONCLUSION: The separate internal drainage of bile and pancreatic fluid plays an important role in preventing pancreaticojejunal anastomotic leakage.
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| Cite this article: |
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Shen BY,
Li HW,
Man Chen,
et al.
Prevention of pancreaticojejunal anastomotic leakage after pancreaticoduodenectomy with separate internal drainage of bile and pancreatic fluid.
Hepatobiliary Pancreat Dis Int
2003;
2(1):
131-134. DOI:
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| URL: |
| http://dx.doi.org/ OR http://www.hbpdint.com/EN/Y2003/V2/I1/131 |
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2003, Vol. 2 
