Enteric reconstruction of pancreatic stump following pancreaticoduodenectomy: A review of the literature

INTERNATIONAL JOURNAL OF SURGERY

卷:12

Review

Chen, Yong-jun¹  Lai, Eric C. H.²  Lau, Wan-Yee³  Chen, Xiao-ping¹ 

[1] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Gen Surg, Wuhan 430074, Hubei Province, Peoples R China

[2] Pamela Youde Nethersole Eastern Hosp, Dept Surg, Hong Kong, Hong Kong, Peoples R China

[3] Chinese Univ Hong Kong, Fac Med, Hong Kong, Hong Kong, Peoples R China

关键词: Pancreaticoduodenectomy;    Enteric reconstruction;    Pancreaticojejunostomy;    Pancreaticogastrostomy;   

DOI  :  10.1016/j.ijsu.2014.05.060

来源: Elsevier

【 摘 要 】

Techniques for reconstruction of pancreatic stump with gastrointestinal tract following pancreaticoduodenectomy are closely related to postoperative complications, mortality and quality of life. In order to reduce postoperative complications, particularly pancreatic fistula, many modifications and new surgical techniques have been proposed to replace the traditional pancreaticojejunostomy and pancreaticogastrostomy. The objective of this review, based on large prospective randomized trials and meta-analyses, is to evaluate the different techniques of enteric reconstruction of pancreatic stump following pancreaticoduodenectomy, including: invagination pancreaticojejunostomy, binding pancreaticojejunostomy, duct-to-mucosa pancreaticojejunostomy, Roux-en-Y pancreaticojejunostomy, and pancreaticogastrostomy, so as to provide a comprehensive comparison of these techniques and to assess of their roles and effectiveness. (C) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free