Clinical application of end-to-side binding pancreaticojejunostomy: report of 70 cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUANG Congyun ¹ , PENG Shuyou ² , ZHU Jianhua ¹ , WU Liming ¹ , LIU Wenying ¹ , TAN Yong ¹ , OUYANG Zaixing ¹ , SONG Hao ¹

1. Department of Hepatobiliary Surgery, Yuebei People’s Hospital Affiliated to Shantou University Medical College, Shaoguan, Guangdong 512026, P. R. China;
2. Department of General Surgery, Shaoyifu Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310016, P. R. China;

Corresponding author：

HUANG Congyun, Email: hcy804@qq.com

Keywords：

pancreaticoduodenectomy; end to-side anastomosis; binding pancreaticojejunostomy

DOI：

10.7507/1007-9424.202004017

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Objective To investigate the clinical effect of end-to-side binding pancreaticojejunostomy.Methods From March 2009 to December 2019 , 70 patients (pancreatic head cancer in 16 cases, duodenal papillary cancer in 27 cases, bile duct cancer in 8 cases, periampullary cancer in 2 cases, gallbladder cancer invading the pancreatic head in 1 case, intraductal papillary myxoma of pancreas in 6 cases, and mass-type chronic pancreatitis in 10 cases) were performed with end-to-side binding pancreaticojejunostomy were retrospectively analyzed, including large pancreas remnant (n=4). The main procedures included isolation of the pancreatic remnant, incising the jejunal wall and preplacing with seromuscular purse string suture around the incision, performing end-to side binding pancreaticojejunostomy.Results The procedures were successful in all 70 patients. Postoperative complications included pancreatic fistula (n=3, 4.3%), of three patients cured with reoperation, jejunal loop decompression tube was not placed in 2 patients, and 1 patient had pancreatic fistula and bleeding on the eighth day after operation. One out of 3 patients developing abdominal hemorrhage which reoperation died of acute respiratory distress syndrome, 1 patient was cured with the vascular interventional hemostasis. Gastrointestinal anastomotic bleeding (n=1) and adhesive intestinal obstruction (n=1) were cured with reoperation, biliary leakage (n=1) was cured with conservative treatment.Conclusion End-to-side binding pancreaticojejunostomy is simple, safe and reliable.

Citation： HUANG Congyun, PENG Shuyou, ZHU Jianhua, WU Liming, LIU Wenying, TAN Yong, OUYANG Zaixing, SONG Hao. Clinical application of end-to-side binding pancreaticojejunostomy: report of 70 cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(1): 95-98. doi: 10.7507/1007-9424.202004017 Copy

1.	彭淑牖, 吴育连, 彭承宏, 等. 捆绑式胰肠吻合术: 附 28 例报告. 中华外科杂志, 1997, 35(3): 158-159.
2.	Peng SY, Mou YP, Liu YB, et al. Binding pancreaticojejunostomy: 150 consecutive cases without leakage. J Gastrointest Surg, 2003, 7(7): 898-900.
3.	Gupta S, Attri AK, Sharma R, et al. Binding pancreaticojejunostomy: is it safe? Niger J Surg, 2020, 26(1): 48-52.
4.	Wang W, Zhang Z, Gu C, et al. The optimal choice for pancreatic anastomosis after pancreaticoduodenectomy: A network meta-analysis of randomized control trials. Int J Surg, 2018, 57: 111-116.
5.	Buc E, Flamein R, Golffier C, et al. Peng’s binding pancreaticojejunostomy after pancreaticoduodenectomy: a French prospective study. J Gastrointest Surg, 2010, 14(4): 705-710.
6.	陈梅福, 谢阳云, 李国光, 等. 双 U 套入荷包捆绑式胰肠吻合术预防胰液漏的疗效分析. 中华消化外科杂志, 2016, 15(10): 987-991.
7.	黄从云, 彭淑牖, 朱剑华, 等. 捆绑式胰肠端侧吻合术. 外科理论与实践, 2011, 16(5): 452-454.
8.	彭兵, 王昕, 蔡合. 胰肠吻合技巧及研究进展. 中国普外基础与临床杂志, 2019, 26(4): 395-398.
9.	卿德科, 罗丁, 毛静熙, 等. “关腹前创新"消除胰肠吻合口漏 200 例分析. 中华肝胆外科杂志, 2013, 19(6): 416-9.
10.	季月辉, 王小明, 孙卫东, 等. 肝圆韧带在腹腔镜胰十二指肠切除术胰肠吻合中的应用体会. 肝胆胰外科杂志, 2018, 30(5): 357-360.
11.	李少栋, 鲁超, 牟一平, 等. 腹腔镜胰十二指肠切除术中网膜垫技术的应用. 外科理论与实践, 2019, 24(3): 268-270.

1. 彭淑牖, 吴育连, 彭承宏, 等. 捆绑式胰肠吻合术: 附 28 例报告. 中华外科杂志, 1997, 35(3): 158-159.
2. Peng SY, Mou YP, Liu YB, et al. Binding pancreaticojejunostomy: 150 consecutive cases without leakage. J Gastrointest Surg, 2003, 7(7): 898-900.
3. Gupta S, Attri AK, Sharma R, et al. Binding pancreaticojejunostomy: is it safe? Niger J Surg, 2020, 26(1): 48-52.
4. Wang W, Zhang Z, Gu C, et al. The optimal choice for pancreatic anastomosis after pancreaticoduodenectomy: A network meta-analysis of randomized control trials. Int J Surg, 2018, 57: 111-116.
5. Buc E, Flamein R, Golffier C, et al. Peng’s binding pancreaticojejunostomy after pancreaticoduodenectomy: a French prospective study. J Gastrointest Surg, 2010, 14(4): 705-710.
6. 陈梅福, 谢阳云, 李国光, 等. 双 U 套入荷包捆绑式胰肠吻合术预防胰液漏的疗效分析. 中华消化外科杂志, 2016, 15(10): 987-991.
7. 黄从云, 彭淑牖, 朱剑华, 等. 捆绑式胰肠端侧吻合术. 外科理论与实践, 2011, 16(5): 452-454.
8. 彭兵, 王昕, 蔡合. 胰肠吻合技巧及研究进展. 中国普外基础与临床杂志, 2019, 26(4): 395-398.
9. 卿德科, 罗丁, 毛静熙, 等. “关腹前创新"消除胰肠吻合口漏 200 例分析. 中华肝胆外科杂志, 2013, 19(6): 416-9.
10. 季月辉, 王小明, 孙卫东, 等. 肝圆韧带在腹腔镜胰十二指肠切除术胰肠吻合中的应用体会. 肝胆胰外科杂志, 2018, 30(5): 357-360.
11. 李少栋, 鲁超, 牟一平, 等. 腹腔镜胰十二指肠切除术中网膜垫技术的应用. 外科理论与实践, 2019, 24(3): 268-270.

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Clinical application of end-to-side binding pancreaticojejunostomy: report of 70 cases

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