Research on Method of Pancreaticoenterostomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHU Zhenyu ¹ , HUANG Zhiqiang. ²

1. Institute of Hepatobiliary Gastrointestinal Disease in General Hospital of PLA’s Second Artillery, Beijing 100088, China;;
2. General Hospital of PLA, Beijing 100853, China;

Corresponding author：

Keywords：

Pancreaticoenterostomy; Pancreatic fistula; Absorbable mash bandage; Ear-brain glue

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To investigate the new method of pancreaticoenterostomy and decrease the probability of complications like pancreatic fistula etc.
Methods 　By using the absorbable bandage and ear-brain glue, modified sutureless pancreaticoenteromy was made in 10 swines. Experimental data includes： routine analysis of blood, levels of amylase in blood and abdominal drainage and lipase in blood and abdominal drainage. The tissues in anastomosis were taken for pathology examination in 1 month after operation.
Results 　The average operative time was （35±10） min.Nine of ten animals had no pancreatic fistula and survived. The levels of amylase and lipase in abdominal drainage were both normal. One swine had a evident abdominal distensile on 2 days after operation, the level of amylase was 10 000u/L,then died on 10 days after operation. Pancreatic fistula and infection were found because of the loss of stent in pancreatic duct.
Conclusions 　Comparison with traditional operation, the modified sutureless pancreaticoenteromy can also control the probability of pancreatic fistula. And this method can be hoped to be one of the routine operations of pancreaticoenterostomy because of its simplicity and practicality.

Citation： ZHU Zhenyu,HUANG Zhiqiang.. Research on Method of Pancreaticoenterostomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(4): 368-371. doi: Copy

1.	Yeo CJ， Cameron JL， Sohn TA， et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s：pathology， complications，and outcomes [J]. Ann Surg， 1997， 226(3)：248-257.
2.	Yeo CJ， Cameron JL， Maher MM， et a1. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy [J]. Ann Surg， 1995，222(4)： 580-588．.
3.	Staley CA， Lee JE， Cleary KR， et a1. Preoperative chemoradiation，pancreaticoduodenectomy，and intraoperative radiation therapy for adenocarcinoma of the pancreatic head [J]. Am J Surg， 1996， 171(1)： 118-124．.
4.	Matsumoto Y， Fujii H， Miura K， et a1. Successful pancreatojejunal anastomosis for pancreatoduodenectomy [J]. Surg Gynecol Obstet， 1992， 175(6)： 555-562．.
5.	Cameron JL， Pitt HA， Yeo CJ， et a1. One hundred and fortyfive consecutive pancreaticoduodenectomies without mortality [J]. Ann Surg， 1993， 217(5)： 430-435.
6.	李海民，窦科蜂，宋振顺，等. 套人式双层连续缝合加捆绑在胰肠吻合术中的应用 [J]. 中国普外基础与临床杂志， 2007，14(4)： 480．.
7.	彭淑牖，吴育连，彭承宏，等. 捆绑式胰肠吻合术( 附28 例报告) [J]. 中华外科杂志， 1997， 35(3)：158-159．.
8.	张春秋，王国华，彭晓晖，等. 捆绑式胰肠吻合术在预防胰十二指肠切除术后胰瘘发生中的临床应用 [J]. 中国普外基础与临床杂志， 2008， 15(8)： 565-566．.
9.	Bartoli FG， Arnone GB， Ravera G， et a1. Pancreatic fistula and relative mortality in malignant disease after pancreaticoduodenectomy.Review and statistical meta-analysis regarding 15 years of literature [J]. Anticancer Res， 1991， 11(5)：1831-1848.
10.	Grace PA， Pitt HA， Tompkins RK， et a1. Decreased morbidity and mortality after pancreaticoduodenectomy [J]. Am J Surg，1986， 151(1)：141- 149.
11.	Marcus SG， Cohen H， Ranson JH. Optimal management of the pancreatic remnant after pancreaticoduodenectomy [J]. Ann Surg， 1995， 221(6)： 635-645．.
12.	Sikora SS， Posner MC. Management of the pancreatic stump following pancreaticoduodenectomy [J]. Br J Surg， 1995， 82(12)： 1590-1597.
13.	Hwang TL， Jan YY， Chen MF. Secural pancreaticojejunal anastomosis for the pancreaticoduodenectomy [J]. Hepatogastroenterology，1996， 43(7)： 275-277．.
14.	Hamanaka Y， Nishihara K， Hamasaki T， et a1. Pancreatic juice output after pancreatoduodenectomy in relation to pancreatic consistency，duct size，and leakage [J]. Surgery， 1996， 119(3)：281-287．.
15.	Iannitti DA， Coburn NG， Somberg J， et a1. Use of the round ligament of the liver to decrease pancreatic fistulas：a novel technique [J]. J Am Coll Surg， 2006， 203(6)：857-864.
16.	Kapoor VK， Sharma A， Behari A， et a1. Omental flaps in pancreaticoduodenectomy [J]. JOP， 2006， 7(6)：608- 615.
17.	Maeda A， Ebata T， Kanemoto H， et a1. Omental flap in pancreaticoduodenectomyfor protection of splanchnic vessels [J].World J Surg， 2005， 29(9)：1122-1126.
18.	彭淑牖，刘颍斌，牟一平，等. 捆绑式胰肠吻合术—— 150 例的临床应用 [J]. 中华医学杂志， 2002，82(6)： 368-370.
19.	彭淑牖，刘颖斌，牟一平，等. 捆绑式胰肠吻合术100例报告[J]. 胰腺病学杂志， 2001， 1(1)：43-45.
20.	彭淑牖，牟一平，蔡秀军，等. 捆绑式胰肠吻合术51 例报告[J]. 外科理论与实践， l998， 3(2)： 117-118.
21.	彭淑牖，吴育连，彭承宏，等. 一种确保不发生胰瘘的术式——捆绑式胰肠吻合术 [J]. 普外基础与临床杂志， 1997， 4(4)：242-243.
22.	Hall RI， Rhodes M， Isabel-Martinez L， et a1. Pancreatic exocrine function after a sutureless pancreaticojejunostomy following pancreaticoduodenectomy [J]. Br J Surg， 1990， 77(1)： 83-85.
23.	Takao S， Shimazu H， Maenohara S， et al. Modified pancreaticogastrostomy following pancreaticoduodenectomy [J]. Am J Surg， 1993， 165(3)：317-321.
24.	Berenstern A， Hishima G. Clinical versus experimental use of isobutyl-2-Cyanoacrylate [J]. J Neurosurg， 1987， 67(2)：318-320.
25.	Vinters HV， Galil KA， Lundie MJ， et a1. The hisotoxicity of cyanoacrylates： a selective review [J]. Neuroradiology， 1985，27(4)：279-291.
26.	Okamoto A， Tsuruta K. Fistulation method：simple and safe pancreaticojejunostomy after pancreatoduodenectomy [J]. Surgery，2000， 127(4)：433-438．.

1. Yeo CJ， Cameron JL， Sohn TA， et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s：pathology， complications，and outcomes [J]. Ann Surg， 1997， 226(3)：248-257.
2. Yeo CJ， Cameron JL， Maher MM， et a1. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy [J]. Ann Surg， 1995，222(4)： 580-588．.
3. Staley CA， Lee JE， Cleary KR， et a1. Preoperative chemoradiation，pancreaticoduodenectomy，and intraoperative radiation therapy for adenocarcinoma of the pancreatic head [J]. Am J Surg， 1996， 171(1)： 118-124．.
4. Matsumoto Y， Fujii H， Miura K， et a1. Successful pancreatojejunal anastomosis for pancreatoduodenectomy [J]. Surg Gynecol Obstet， 1992， 175(6)： 555-562．.
5. Cameron JL， Pitt HA， Yeo CJ， et a1. One hundred and fortyfive consecutive pancreaticoduodenectomies without mortality [J]. Ann Surg， 1993， 217(5)： 430-435.
6. 李海民，窦科蜂，宋振顺，等. 套人式双层连续缝合加捆绑在胰肠吻合术中的应用 [J]. 中国普外基础与临床杂志， 2007，14(4)： 480．.
7. 彭淑牖，吴育连，彭承宏，等. 捆绑式胰肠吻合术( 附28 例报告) [J]. 中华外科杂志， 1997， 35(3)：158-159．.
8. 张春秋，王国华，彭晓晖，等. 捆绑式胰肠吻合术在预防胰十二指肠切除术后胰瘘发生中的临床应用 [J]. 中国普外基础与临床杂志， 2008， 15(8)： 565-566．.
9. Bartoli FG， Arnone GB， Ravera G， et a1. Pancreatic fistula and relative mortality in malignant disease after pancreaticoduodenectomy.Review and statistical meta-analysis regarding 15 years of literature [J]. Anticancer Res， 1991， 11(5)：1831-1848.
10. Grace PA， Pitt HA， Tompkins RK， et a1. Decreased morbidity and mortality after pancreaticoduodenectomy [J]. Am J Surg，1986， 151(1)：141- 149.
11. Marcus SG， Cohen H， Ranson JH. Optimal management of the pancreatic remnant after pancreaticoduodenectomy [J]. Ann Surg， 1995， 221(6)： 635-645．.
12. Sikora SS， Posner MC. Management of the pancreatic stump following pancreaticoduodenectomy [J]. Br J Surg， 1995， 82(12)： 1590-1597.
13. Hwang TL， Jan YY， Chen MF. Secural pancreaticojejunal anastomosis for the pancreaticoduodenectomy [J]. Hepatogastroenterology，1996， 43(7)： 275-277．.
14. Hamanaka Y， Nishihara K， Hamasaki T， et a1. Pancreatic juice output after pancreatoduodenectomy in relation to pancreatic consistency，duct size，and leakage [J]. Surgery， 1996， 119(3)：281-287．.
15. Iannitti DA， Coburn NG， Somberg J， et a1. Use of the round ligament of the liver to decrease pancreatic fistulas：a novel technique [J]. J Am Coll Surg， 2006， 203(6)：857-864.
16. Kapoor VK， Sharma A， Behari A， et a1. Omental flaps in pancreaticoduodenectomy [J]. JOP， 2006， 7(6)：608- 615.
17. Maeda A， Ebata T， Kanemoto H， et a1. Omental flap in pancreaticoduodenectomyfor protection of splanchnic vessels [J].World J Surg， 2005， 29(9)：1122-1126.
18. 彭淑牖，刘颍斌，牟一平，等. 捆绑式胰肠吻合术—— 150 例的临床应用 [J]. 中华医学杂志， 2002，82(6)： 368-370.
19. 彭淑牖，刘颖斌，牟一平，等. 捆绑式胰肠吻合术100例报告[J]. 胰腺病学杂志， 2001， 1(1)：43-45.
20. 彭淑牖，牟一平，蔡秀军，等. 捆绑式胰肠吻合术51 例报告[J]. 外科理论与实践， l998， 3(2)： 117-118.
21. 彭淑牖，吴育连，彭承宏，等. 一种确保不发生胰瘘的术式——捆绑式胰肠吻合术 [J]. 普外基础与临床杂志， 1997， 4(4)：242-243.
22. Hall RI， Rhodes M， Isabel-Martinez L， et a1. Pancreatic exocrine function after a sutureless pancreaticojejunostomy following pancreaticoduodenectomy [J]. Br J Surg， 1990， 77(1)： 83-85.
23. Takao S， Shimazu H， Maenohara S， et al. Modified pancreaticogastrostomy following pancreaticoduodenectomy [J]. Am J Surg， 1993， 165(3)：317-321.
24. Berenstern A， Hishima G. Clinical versus experimental use of isobutyl-2-Cyanoacrylate [J]. J Neurosurg， 1987， 67(2)：318-320.
25. Vinters HV， Galil KA， Lundie MJ， et a1. The hisotoxicity of cyanoacrylates： a selective review [J]. Neuroradiology， 1985，27(4)：279-291.
26. Okamoto A， Tsuruta K. Fistulation method：simple and safe pancreaticojejunostomy after pancreatoduodenectomy [J]. Surgery，2000， 127(4)：433-438．.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research on Method of Pancreaticoenterostomy

Abstract Full text Figures/Tables Video References Cited by

Format

Content