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
Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 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.
