Use of the continuous suture technique in dunking pancreatojejunostomy without stenting.

Abstract:

PURPOSE:To evaluate the newly developed continuous suture technique in dunking pancreatojejunostomy without pancreatic duct stenting after pancreatoduodenectomy (PD). METHODS:Thirty-four consecutive pancreaticojejunostomies (patient age 73 ± 11, 41-88) with continuous sutures without stenting after PD were performed from 2006 to 2011. This study evaluated the operation time, intraoperative blood loss, initial postoperative day of oral feeding, postoperative hospital stay, postoperative early complications, and late complications. The indications for surgery included bile duct cancer (n = 12), pancreatic cancer (n = 11), intraductal papillary mucinous neoplasm (n = 3), cancer of the papilla (n = 3), duodenal cancer (n = 2), and others (n = 3). Portal vein or superior mesenteric vein resections and reconstructions were performed in 7 patients, and another organ was resected in 3. RESULTS:No operative or in-hospital deaths occurred. The operation time (minutes) was 315 ± 68 and, postoperative hospital stay (days) was 27 ± 16. Pancreatic fistula, wound infection, and delayed gastric emptying were observed in 15, 15, and 9 %, respectively. Grade C pancreatic fistula was seen in 2 patients. Both recovered after laparotomy and drainage and were successfully discharged. Worsening diabetes mellitus was seen in 2 of 34 patients, and dilatation of the pancreatic duct was seen in 3 of 28 patients. CONCLUSION:The newly developed continuous suture technique in dunking pancreatojejunostomy without stenting may therefore produce favorable results in PD.

journal_name

Surg Today

journal_title

Surgery today

authors

Katoh T,Kawano K,Furutani A,Katsuki T,Onoda M,Oga A

doi

10.1007/s00595-012-0363-x

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

1008-12

issue

9

eissn

0941-1291

issn

1436-2813

journal_volume

43

pub_type

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