Hepato-gastroenterology · 2007
Effect of a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy: a single surgeon's experiences.
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Kim Ki Hun, Lee Hyo Jun, Lee Young Joo, Park Kwang Min, Hwang Shin, Ahn Chul Soo, Moon Deok Bog, Ha Tae Yong, Song Gi Won, Kim Dong Sik, Moon Ki Myung, Jung Dong Hwan, Kim Bum Soo, Lee Sung Gyu
Аннотация
BACKGROUND/AIMS: The aim of the present study is to ascertain the effect of a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy through a single surgeon's experiences.
METHODOLOGY: From March 1, 2002 to March 31, 2005, among 512 patients who had pancreaticoduodenectomy at Asan Medical Center, 56 patients who had a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis were selected consecutively for prospective study.
RESULTS: There were 44 pylorus-preserving pancreaticoduodenectomy, 10 pancreaticoduodenectomy, 2 hepatopancreaticoduodenectomy. No pancreatic leakage was reported. All three wound infections recovered after conservative treatment, and a gastric ulcer bleeding was resolved by suture-ligation through laparotomy. There was no mortality after surgery.
CONCLUSIONS: Although it is a report with low surgical volume, a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy is thought to be a good method to prevent the complications of pancreatic leakage using a tight close attachment of pancreas and jejunum.
METHODOLOGY: From March 1, 2002 to March 31, 2005, among 512 patients who had pancreaticoduodenectomy at Asan Medical Center, 56 patients who had a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis were selected consecutively for prospective study.
RESULTS: There were 44 pylorus-preserving pancreaticoduodenectomy, 10 pancreaticoduodenectomy, 2 hepatopancreaticoduodenectomy. No pancreatic leakage was reported. All three wound infections recovered after conservative treatment, and a gastric ulcer bleeding was resolved by suture-ligation through laparotomy. There was no mortality after surgery.
CONCLUSIONS: Although it is a report with low surgical volume, a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy is thought to be a good method to prevent the complications of pancreatic leakage using a tight close attachment of pancreas and jejunum.