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| T-tube bridging fistula jejunal anastomosis for treatment of pancreatic lumbar dorsal fistula after necrotizing pancreatitis |
| Su-Lai Liu # , Guo-Guang Li # , Wei Cheng, Chuang Peng, Ying-Hui Song ∗ |
Department of Hepatobiliary Surgery, Hunan Provincial People’s Hospital/The First Affiliated Hospital of Hunan Normal University, Changsha 410000, China
∗ Corresponding author.
E-mail address: songyinghui@hunnu.edu.cn (Y.-H. Song).
# Contributed equally. |
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Abstract Infectious pancreatic necrosis causes external pancreatic fistula in some patients. Generally, external pancreatic fistula requires fistula-gastric and/or intestinal anastomosis, and digestive endoscopic interventional treatment [1–3]. It is especially difficult to treat external pancreatic fistulas with small fistulas where the external fistula is located in the lower back. The common treatment is to remove the body and tail of the pancreas and the spleen. This operation is very traumatic. A new pancreatic fistula may still occur at the pancreatic stump. The above operations may lead to unnecessary resection of the spleen, colon injury and other complications. In order to solve this problem, we innovatively used T-tube bridging fistula jejunal anastomosis plus continuous negative pressure suction to treat three cases of external pancreatic fistulas in the lower back, and all of them achieved good results.
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| [1] |
Mazzarella G, Muttillo EM, Coletta D, Picardi B, Rossi S, Rossi Del Monte S, Gomes V, Muttillo IA. Solid pseudopapillary tumor of the pancreas: A systematic review of clinical, surgical and oncological characteristics of 1384 patients underwent pancreatic surgery[J]. Hepatobiliary Pancreat Dis Int, 2024, 23(4): 331-338. |
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2024, Vol. 23 
