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| Prevention of pancreatic leakage after pancreaticoduodenectomy by modified Child pancreaticojejunostomy |
| Yan-Ling Yang, Xiao-Ping Xu, Guo-Qiang Wu, Shu-Qiang Yue and Ke-Feng Dou |
Xi'an, China
Author Affiliations: Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China (Yang YL, Yue SQ and Dou KF); Department of General Surgery, Zhujiang Hospital, South Medical University, Guangzhou 510282, China (Xu XP); and Department of General Surgery, General Hospital of Shenyang Military Area of PLA, Shenyang 110016, China (Wu GQ)
Corresponding Author: Yan-Ling Yang, MD, Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China (Tel: 86-29-84775259; Fax: 86-29- 84775561; Email: yangylfmmu@yahoo.com.cn) |
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Abstract BACKGROUND: Pancreatic leakage after pancreaticoduodenectomy 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 "modified Child pancreaticojejunostomy" 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 pancreaticojejunostomy, 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.
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2008, Vol. 7 
