Binding pancreaticojejunostomy is a new technique to minimize leakage
Pancreaticoduodenectomy (Whipple procedure) has been the standard treatment for periampullary and pancreatic carcinoma. A leak or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to effectively prevent the development of...
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| Veröffentlicht in: | The American journal of surgery 2002-03, Vol.183 (3), p.283-285 |
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| container_title | The American journal of surgery |
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| creator | Peng, Shuyou Mou, Yiping Cai, Xiujun Peng, Chenghong |
| description | Pancreaticoduodenectomy (Whipple procedure) has been the standard treatment for periampullary and pancreatic carcinoma. A leak or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to effectively prevent the development of pancreatic fistulae, we designed a special technique called binding pancreaticojejunostomy, by which 3 cm of the serosa-muscular sheath of the jejunum was bound to the pancreatic remnant. We have performed this procedure in 105 consecutive patients; none of the cases developed pancreatic fistula. It is a safe, simple, and efficient technique. |
| doi_str_mv | 10.1016/S0002-9610(02)00792-4 |
| format | Article |
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A leak or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to effectively prevent the development of pancreatic fistulae, we designed a special technique called binding pancreaticojejunostomy, by which 3 cm of the serosa-muscular sheath of the jejunum was bound to the pancreatic remnant. We have performed this procedure in 105 consecutive patients; none of the cases developed pancreatic fistula. It is a safe, simple, and efficient technique.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(02)00792-4</identifier><identifier>PMID: 11943127</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anastomosis ; Anastomosis, Surgical - methods ; Binding ; Biological and medical sciences ; Cancer ; Combined Modality Therapy ; Female ; Fistula ; Fistulae ; Follow-Up Studies ; Humans ; Jejunum ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Morbidity ; Pancreas ; Pancreatic carcinoma ; Pancreatic Fistula - prevention & control ; Pancreatic leakage ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy ; Pancreaticoduodenectomy - adverse effects ; Pancreaticoduodenectomy - methods ; Pancreaticojejunostomy - methods ; Postoperative Complications - prevention & control ; Retrospective Studies ; Sheaths ; Small intestine ; Surgery ; Surgery (general aspects). 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A leak or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to effectively prevent the development of pancreatic fistulae, we designed a special technique called binding pancreaticojejunostomy, by which 3 cm of the serosa-muscular sheath of the jejunum was bound to the pancreatic remnant. We have performed this procedure in 105 consecutive patients; none of the cases developed pancreatic fistula. It is a safe, simple, and efficient technique.</description><subject>Anastomosis</subject><subject>Anastomosis, Surgical - methods</subject><subject>Binding</subject><subject>Biological and medical sciences</subject><subject>Cancer</subject><subject>Combined Modality Therapy</subject><subject>Female</subject><subject>Fistula</subject><subject>Fistulae</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Jejunum</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Morbidity</subject><subject>Pancreas</subject><subject>Pancreatic carcinoma</subject><subject>Pancreatic Fistula - prevention & control</subject><subject>Pancreatic leakage</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy</subject><subject>Pancreaticoduodenectomy - adverse effects</subject><subject>Pancreaticoduodenectomy - methods</subject><subject>Pancreaticojejunostomy - methods</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Sheaths</subject><subject>Small intestine</subject><subject>Surgery</subject><subject>Surgery (general aspects). 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Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Surgical anastomosis</subject><subject>Sutures</subject><subject>Treatment Outcome</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkE1LHTEUhoMoenvrT1AGpKUupk0ymXysSitWBcFF23XIZM5orjPJNZmp6K9v7gcKblwdDjzvy8uD0BHBXwkm_NtvjDEtFSf4C6anGAtFS7aDZkQKVRIpq100e0EO0IeUFvklhFX76IAQxSpCxQyd_3S-df62WBpvI5jR2bCAxeRDGsPwVLhUmMLDYzGCvfPuYYJiDMXgvBvcMxQ9mHtzCx_RXmf6BIfbO0d_f53_Obssr28urs5-XJeWCTKW0NZGUCobyhTYDlQtLeZccNNwzJuKNR1lVLSqVrhWqq0wVpIZwjhVTICo5ujzpncZQ56SRj24ZKHvjYcwJS1ILZkUPIMnb8BFmKLP2zSVTDAua8YyVW8oG0NKETq9jG4w8UkTrFeW9dqyXinU-a4t61XueNs-NQO0r6mt1gx82gImWdN3Mct16ZWrcmHGMvd9w0GW9s9B1Mk68BZaF8GOug3unSn_AU_Ylu4</recordid><startdate>20020301</startdate><enddate>20020301</enddate><creator>Peng, Shuyou</creator><creator>Mou, Yiping</creator><creator>Cai, Xiujun</creator><creator>Peng, Chenghong</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><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>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20020301</creationdate><title>Binding pancreaticojejunostomy is a new technique to minimize leakage</title><author>Peng, Shuyou ; Mou, Yiping ; Cai, Xiujun ; Peng, Chenghong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-ed5a7228b249ecfe958c06676ab606b34bf2427d9590599d300984a1462947e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Anastomosis</topic><topic>Anastomosis, Surgical - methods</topic><topic>Binding</topic><topic>Biological and medical sciences</topic><topic>Cancer</topic><topic>Combined Modality Therapy</topic><topic>Female</topic><topic>Fistula</topic><topic>Fistulae</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Jejunum</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Morbidity</topic><topic>Pancreas</topic><topic>Pancreatic carcinoma</topic><topic>Pancreatic Fistula - prevention & control</topic><topic>Pancreatic leakage</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy</topic><topic>Pancreaticoduodenectomy - adverse effects</topic><topic>Pancreaticoduodenectomy - methods</topic><topic>Pancreaticojejunostomy - methods</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Sheaths</topic><topic>Small intestine</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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A leak or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to effectively prevent the development of pancreatic fistulae, we designed a special technique called binding pancreaticojejunostomy, by which 3 cm of the serosa-muscular sheath of the jejunum was bound to the pancreatic remnant. We have performed this procedure in 105 consecutive patients; none of the cases developed pancreatic fistula. It is a safe, simple, and efficient technique.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11943127</pmid><doi>10.1016/S0002-9610(02)00792-4</doi><tpages>3</tpages></addata></record> |
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| subjects | Anastomosis Anastomosis, Surgical - methods Binding Biological and medical sciences Cancer Combined Modality Therapy Female Fistula Fistulae Follow-Up Studies Humans Jejunum Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Morbidity Pancreas Pancreatic carcinoma Pancreatic Fistula - prevention & control Pancreatic leakage Pancreatic Neoplasms - surgery Pancreaticoduodenectomy Pancreaticoduodenectomy - adverse effects Pancreaticoduodenectomy - methods Pancreaticojejunostomy - methods Postoperative Complications - prevention & control Retrospective Studies Sheaths Small intestine Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical anastomosis Sutures Treatment Outcome |
| title | Binding pancreaticojejunostomy is a new technique to minimize leakage |
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