Binding pancreaticojejunostomy: 150 consecutive cases without leakage.

摘要: The objective of this study was to verify the safety a new technique termed "binding pancreaticojejunostomy" in prospective cohort study. Pancreaticojejunal anastomostic leakage is major cause morbidity and mortality after pancreaticoduodenectomy. To prevent development pancreatic fistulas, we designed special that binding pancreaticojejunostomy. Binding pancreaticojejunostomy entails 3 cm serosamuscular sheath jejunum intussuscepted stump. From January 1996 May 2001, total 150 consecutive patients were treated with type pancreaticojejunostomy, including typical pancreaticoduodenectomy 120, hepatopancreaticoduodenectomy 17, pylorus-preserving 10, duodenal-preserving resection head pancreas three. None developed fistulas. overall 31.3%. following complications occurred: gastrointestinal bleeding six, pulmonary infection 12, wound 20, delayed gastric emptying three, incision dehiscence four, hepatic insufficiency two. mean postoperative hospital stay 19.8 ± 5 days. safe, simple, effective technique.