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Duct To Mucosa Method of Pancreaticojejunostomy after Pancreaticoduodenectomy

Other Title
췌십이지장절제술후 췌공장문합술로의 췌관-점막문합술
Authors
이, 건욱; 김, 욱환
Citation
Taehan Oekwa Hakhoe, 48(1):43-47, 1995
Journal Title
Taehan Oekwa Hakhoe; 대한외과학회지
ISSN
1226-0053
Abstract
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

pancreatogastrostomy.

The

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

method

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

to the

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

cases

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

reconstruction

after pancreaticoduodenectomy through long-term follow-up results.
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Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
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