Abstract
Objective
To explore the ways how to decrease the morbidity and mortality of pancreaticoduodenectomy(PD).
Methods
In 30 cases of PD, a free vascularized jejunal loop was used to perform single loop Roux-Y anastomosis to reconstruct the digestive tract.
Results
The morality rate was zero and there were no cases of leakage at the pancraticojejunostomy and choledocojejunostomy. All patients were discharged from hospital 10–14 days after operation. Postoperative follow-upoof long-term choronic complications showed only one patient (3.33%) suffered from chronic steatorrhea and malnutrition, the remaining 29 cases (96.67%) had a good function of digestion and normal nutrition. There were no cases of biler reflux gastric disease, retrograde infection, anastomostic ulcer of gastrojejunostomy, and dum** syndrome.
Conclusion
This surgical procedure can effectively reduce the morbidity and the mortality of PD.
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References
Yeo CJ, Cameron JL. Improving results of pancreaticoduodenectomy for pancreatic cancer. World J Surg, 1999, 23: 907–909.
Yang LY, Wang GW, Liu N, et al. Pancreaticoduodenectomy: report of 101 cases. Chin J Prac Surg, 2001, 5: 295–296.
Yeo CJ, Cameron JL. Pancreaticoduodenectomy for tumors of head, neck, or uncinate process. Curr Prob Surg, 1999, 36: 125–127.
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Ma, Y., Li, X., Chen, H. et al. Pancreaticoduodenectomy with roux-Y anastomosis to reconstruct the digestive tract: A report of 30 cases. Chin. -Ger. J. Clin. Oncol. 1, 166–167 (2002). https://doi.org/10.1007/BF02851715
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DOI: https://doi.org/10.1007/BF02851715