Low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy
We describe an effective technique for the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy (PD). After hepatectomy and PD, reconstruction is performed by a modification of Child’s method. A pancrea...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2008-03, Vol.38 (3), p.285-288 |
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| creator | Yoshida, Hiroshi Mamada, Yasuhiro Taniai, Nobuhiko Mizuguchi, Yoshiaki Nanbu, Kohtaroh Mizutani, Satoshi Satoh, Seiichi Shioya, Takeshi Tokunaga, Akira Tajiri, Takashi |
| description | We describe an effective technique for the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy (PD). After hepatectomy and PD, reconstruction is performed by a modification of Child’s method. A pancreaticojejunostomy is completed with interrupted sutures between the pancreatic duct and mucosa, without inserting a stent. During hepaticojejunostomy, a 10-F silicone drain with side channels (Blake Silicone Drain; Ethicon, Somerville, NJ, USA) is placed within the hepatic duct via the stump of the jejunal limb to drain bile and pancreatic juice. The drain is connected to a continuous suction device and low suction pressure is started. We found that the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb was very effective after major hepatectomy with PD. |
| doi_str_mv | 10.1007/s00595-007-3604-7 |
| format | Article |
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After hepatectomy and PD, reconstruction is performed by a modification of Child’s method. A pancreaticojejunostomy is completed with interrupted sutures between the pancreatic duct and mucosa, without inserting a stent. During hepaticojejunostomy, a 10-F silicone drain with side channels (Blake Silicone Drain; Ethicon, Somerville, NJ, USA) is placed within the hepatic duct via the stump of the jejunal limb to drain bile and pancreatic juice. The drain is connected to a continuous suction device and low suction pressure is started. We found that the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb was very effective after major hepatectomy with PD.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-007-3604-7</identifier><identifier>PMID: 18307009</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Adult ; Female ; Gallbladder Neoplasms - pathology ; Gallbladder Neoplasms - surgery ; Hepatectomy ; Hepatic Duct, Common - surgery ; How to Do It ; Humans ; Medicine ; Medicine & Public Health ; Pancreas - surgery ; Pancreatic Juice ; Pancreaticoduodenectomy ; Postoperative Care ; Postoperative Complications - prevention & control ; Pressure ; Reconstructive Surgical Procedures ; Stents ; Suction - methods ; Surgery ; Surgical Oncology</subject><ispartof>Surgery today (Tokyo, Japan), 2008-03, Vol.38 (3), p.285-288</ispartof><rights>Springer 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-aea5e1bef890f568ccdc22ffc9a3452969e889bdde4b34b74fe6eaad515cdef33</citedby><cites>FETCH-LOGICAL-c395t-aea5e1bef890f568ccdc22ffc9a3452969e889bdde4b34b74fe6eaad515cdef33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-007-3604-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-007-3604-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18307009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshida, Hiroshi</creatorcontrib><creatorcontrib>Mamada, Yasuhiro</creatorcontrib><creatorcontrib>Taniai, Nobuhiko</creatorcontrib><creatorcontrib>Mizuguchi, Yoshiaki</creatorcontrib><creatorcontrib>Nanbu, Kohtaroh</creatorcontrib><creatorcontrib>Mizutani, Satoshi</creatorcontrib><creatorcontrib>Satoh, Seiichi</creatorcontrib><creatorcontrib>Shioya, Takeshi</creatorcontrib><creatorcontrib>Tokunaga, Akira</creatorcontrib><creatorcontrib>Tajiri, Takashi</creatorcontrib><title>Low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>We describe an effective technique for the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy (PD). After hepatectomy and PD, reconstruction is performed by a modification of Child’s method. A pancreaticojejunostomy is completed with interrupted sutures between the pancreatic duct and mucosa, without inserting a stent. During hepaticojejunostomy, a 10-F silicone drain with side channels (Blake Silicone Drain; Ethicon, Somerville, NJ, USA) is placed within the hepatic duct via the stump of the jejunal limb to drain bile and pancreatic juice. The drain is connected to a continuous suction device and low suction pressure is started. We found that the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb was very effective after major hepatectomy with PD.</description><subject>Adult</subject><subject>Female</subject><subject>Gallbladder Neoplasms - pathology</subject><subject>Gallbladder Neoplasms - surgery</subject><subject>Hepatectomy</subject><subject>Hepatic Duct, Common - surgery</subject><subject>How to Do It</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pancreas - surgery</subject><subject>Pancreatic Juice</subject><subject>Pancreaticoduodenectomy</subject><subject>Postoperative Care</subject><subject>Postoperative Complications - prevention & control</subject><subject>Pressure</subject><subject>Reconstructive Surgical Procedures</subject><subject>Stents</subject><subject>Suction - methods</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAQhS0EopfSB2CDvGJnsOM4iZeo4k-6Ehu6thx73OsosYN_VPVFeN7mNlewYzWjme-cxTkIvWP0I6O0_5QpFVKQbSW8oy3pX6ADa3lHmoHxl-hAZcsIayS7Qm9yniht2oHS1-iKDZz2lMoD-nOMD2RNkHNNgE0MxYcaa8a5muJjwNHh0c-AdbB41cEk0MUbPFVvALsUF1xOgE-wPp_tpnpGJ5hq0DOe_TJi7QokvOgppp0EU-LyiB98Of01jbZGC2F_vUWvnJ4z3FzmNbr7-uXX7Xdy_Pntx-3nIzFcikI0aAFsBDdI6kQ3GGNN0zhnpOataGQnYRjkaC20I2_HvnXQgdZWMGEsOM6v0Yfdd03xd4Vc1OKzgXnWAbYUVE-54L3oNpDtoEkx5wROrckvOj0qRtW5DLWXoc7ruQzVb5r3F_M6LmD_KS7pb0CzA3l7hXtIaoo1bbHl_7g-AT6omns</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Yoshida, Hiroshi</creator><creator>Mamada, Yasuhiro</creator><creator>Taniai, Nobuhiko</creator><creator>Mizuguchi, Yoshiaki</creator><creator>Nanbu, Kohtaroh</creator><creator>Mizutani, Satoshi</creator><creator>Satoh, Seiichi</creator><creator>Shioya, Takeshi</creator><creator>Tokunaga, Akira</creator><creator>Tajiri, Takashi</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080301</creationdate><title>Low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy</title><author>Yoshida, Hiroshi ; Mamada, Yasuhiro ; Taniai, Nobuhiko ; Mizuguchi, Yoshiaki ; Nanbu, Kohtaroh ; Mizutani, Satoshi ; Satoh, Seiichi ; Shioya, Takeshi ; Tokunaga, Akira ; Tajiri, Takashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-aea5e1bef890f568ccdc22ffc9a3452969e889bdde4b34b74fe6eaad515cdef33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Female</topic><topic>Gallbladder Neoplasms - pathology</topic><topic>Gallbladder Neoplasms - surgery</topic><topic>Hepatectomy</topic><topic>Hepatic Duct, Common - surgery</topic><topic>How to Do It</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pancreas - surgery</topic><topic>Pancreatic Juice</topic><topic>Pancreaticoduodenectomy</topic><topic>Postoperative Care</topic><topic>Postoperative Complications - prevention & control</topic><topic>Pressure</topic><topic>Reconstructive Surgical Procedures</topic><topic>Stents</topic><topic>Suction - methods</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshida, Hiroshi</creatorcontrib><creatorcontrib>Mamada, Yasuhiro</creatorcontrib><creatorcontrib>Taniai, Nobuhiko</creatorcontrib><creatorcontrib>Mizuguchi, Yoshiaki</creatorcontrib><creatorcontrib>Nanbu, Kohtaroh</creatorcontrib><creatorcontrib>Mizutani, Satoshi</creatorcontrib><creatorcontrib>Satoh, Seiichi</creatorcontrib><creatorcontrib>Shioya, Takeshi</creatorcontrib><creatorcontrib>Tokunaga, Akira</creatorcontrib><creatorcontrib>Tajiri, Takashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshida, Hiroshi</au><au>Mamada, Yasuhiro</au><au>Taniai, Nobuhiko</au><au>Mizuguchi, Yoshiaki</au><au>Nanbu, Kohtaroh</au><au>Mizutani, Satoshi</au><au>Satoh, Seiichi</au><au>Shioya, Takeshi</au><au>Tokunaga, Akira</au><au>Tajiri, Takashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>38</volume><issue>3</issue><spage>285</spage><epage>288</epage><pages>285-288</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>We describe an effective technique for the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy (PD). After hepatectomy and PD, reconstruction is performed by a modification of Child’s method. A pancreaticojejunostomy is completed with interrupted sutures between the pancreatic duct and mucosa, without inserting a stent. During hepaticojejunostomy, a 10-F silicone drain with side channels (Blake Silicone Drain; Ethicon, Somerville, NJ, USA) is placed within the hepatic duct via the stump of the jejunal limb to drain bile and pancreatic juice. The drain is connected to a continuous suction device and low suction pressure is started. We found that the low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb was very effective after major hepatectomy with PD.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18307009</pmid><doi>10.1007/s00595-007-3604-7</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Female Gallbladder Neoplasms - pathology Gallbladder Neoplasms - surgery Hepatectomy Hepatic Duct, Common - surgery How to Do It Humans Medicine Medicine & Public Health Pancreas - surgery Pancreatic Juice Pancreaticoduodenectomy Postoperative Care Postoperative Complications - prevention & control Pressure Reconstructive Surgical Procedures Stents Suction - methods Surgery Surgical Oncology |
| title | Low-pressure continuous suction of bile and pancreatic juice from the hepatic duct and jejunal limb after major hepatectomy with pancreatoduodenectomy |
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