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

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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

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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，竇科蜂，宋振順，等. 套人式雙層連續縫合加捆綁在胰腸吻合術中的應用 [J]. 中國普外基礎與臨床雜志， 2007，14(4)： 480．.
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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，劉潁斌，牟一平，等. 捆綁式胰腸吻合術—— 150 例的臨床應用 [J]. 中華醫學雜志， 2002，82(6)： 368-370.
19.	彭淑牖，劉穎斌，牟一平，等. 捆綁式胰腸吻合術100例報告[J]. 胰腺病學雜志， 2001， 1(1)：43-45.
20.	彭淑牖，牟一平，蔡秀軍，等. 捆綁式胰腸吻合術51 例報告[J]. 外科理論與實踐， l998， 3(2)： 117-118.
21.	彭淑牖，吳育連，彭承宏，等. 一種確保不發生胰瘺的術式——捆綁式胰腸吻合術 [J]. 普外基礎與臨床雜志， 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，竇科蜂，宋振順，等. 套人式雙層連續縫合加捆綁在胰腸吻合術中的應用 [J]. 中國普外基礎與臨床雜志， 2007，14(4)： 480．.
7. 彭淑牖，吳育連，彭承宏，等. 捆綁式胰腸吻合術( 附28 例報告) [J]. 中華外科雜志， 1997， 35(3)：158-159．.
8. 張春秋，王國華，彭曉暉，等. 捆綁式胰腸吻合術在預防胰十二指腸切除術后胰瘺發生中的臨床應用 [J]. 中國普外基礎與臨床雜志， 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，劉潁斌，牟一平，等. 捆綁式胰腸吻合術—— 150 例的臨床應用 [J]. 中華醫學雜志， 2002，82(6)： 368-370.
19. 彭淑牖，劉穎斌，牟一平，等. 捆綁式胰腸吻合術100例報告[J]. 胰腺病學雜志， 2001， 1(1)：43-45.
20. 彭淑牖，牟一平，蔡秀軍，等. 捆綁式胰腸吻合術51 例報告[J]. 外科理論與實踐， l998， 3(2)： 117-118.
21. 彭淑牖，吳育連，彭承宏，等. 一種確保不發生胰瘺的術式——捆綁式胰腸吻合術 [J]. 普外基礎與臨床雜志， 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

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