Premium
The analysis of diagnosis and treatment for pancreatic fistula after pancreaticoduodenectomy for 105 periampullary carcinoma cases
Author(s) -
Kasimu Haxiaobieke,
Chen Qilong,
Wang Xiyan,
Li Jun,
Han Wei,
He Tieying,
Ling Hai,
Wen Hao
Publication year - 2010
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2010.00514.x
Subject(s) - medicine , pancreaticoduodenectomy , pancreatic fistula , anastomosis , surgery , fistula , pancreatic duct , general surgery , pancreas , resection , pancreatitis
Aim: To investigate the ways in which to decrease the morbidity of pancreatic fistula after pancreaticoduodenectomy and corresponding therapy. Methods: Double‐layered end‐to‐side duct‐to‐mucosa anastomosis was applied in 105 cases of pancreaticoduodenectomy and pancreaticoenteric reconstruction, postoperative pancreatic fistula cases were treated aggressively by early surgery, effective drainage and enteral nutrition. Results: Ten cases of pancreatic fistula occurred among 105 operative cases and required reoperation. The rest of the cases recovered uneventfully, except for five cases of in‐hospital death. Conclusion: Aggressively early surgery, effective drainage, comprehensive treatment and continual improvement of operative technique are the key to dealing with postoperative pancreatic fistula.