Duct To Mucosa Method of Pancreaticojejunostomy after Pancreaticoduodenectomy
췌십이지장절제술후 췌공장문합술로의 췌관-점막문합술
이, 건욱; 김, 욱환
Taehan Oekwa Hakhoe, 48(1):43-47, 1995
Taehan Oekwa Hakhoe; 대한외과학회지
the management of the remaining distal pancreas constitutes an important step in pancreaticoduodenectomy. Restoration of gastro-intestinal continuity can be achieved either with pancreaticojejunostomy of several forms or with
purpose of this study is to determine whether duct-to-mucosa method as pancreaticojejunostomy can be a safer method of restoring pancreaticoenteric continuity after pancreaticoduodenectomy. A total of 38 patients have undergone duct-to-mucosa
between July 1987 and March 1994. Pancreaticoduodenectomy was performed for periampullary cancer (n=29), stomach cancer (n=4), colon cancer (n=1), malignant lymphoma of duodenum (n=2), leiomyosarcoma(n=1) and metastatic breast cancer (n=1) of the
duodenum. Conventional Whipple operation was performed in 31 cases and pylorus preserving opeation was performed in 7 cases. Postoperative complications were developed in 14 patients. No pancreatic leakage developed or other complications related
pancreaticojejunostomy developed. Exocrine insufficiency was in one case who had been suffered from chronic pancreatitis and no evidence of endocrine pancreatic insufficiency has been found during follow-up period. Reoperation was performed in 5
to manage the complications which were intestinal obstructions, postoperative bleeding and duodenojejunostomy sit leakage after pylorus-preserving method. In conclusion, duct-to-mucosa method of pancreaticojejunostomy is a safer method of
after pancreaticoduodenectomy through long-term follow-up results.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.
Total Visit :2,783,181
Total Download :1,135,328
Today View :1,154
Ajou University Medical Information & Media Center 164 Worldcup-ro Yeongtong-gu Suwon 16499 Korea / TEL : 031-219-5312 / FAX : 031-219-5314 Copyright (c) Ajou University Medical Information & Media Center All Rights Reserved. AJOU Open Repository는 국립중앙도서관 OAK 보급사업으로 구축되었습니다.