TECHNIQUE OF FORMING INVAGINATED PANREATOJEJUNOANASTOMOSIS
- Authors: Kotelnikova LP1, Burnyshev IG1, Kudryavtsev PL1
-
Affiliations:
- Issue: Vol 31, No 2 (2014)
- Pages: 25-29
- Section: Articles
- URL: https://permmedjournal.ru/PMJ/article/view/3239
- DOI: https://doi.org/10.17816/pmj31225-29
- ID: 3239
Cite item
Full Text
Abstract
Aim. To develop the original, simple and reliable technique for forming invaginated panreatojejunoanastomosis (PJA). Materials and methods. The technique for forming invaginated PJA was developed and used in 10 patients with terminal external pancreatic fistulas (PF). The reasons for forming fistulas were the following: closed abdominal injury (6) and pancreatonecrosis (4). During the first two months, four patients were operated, the rest six - over the period from 3 months to 2,5 years. Results. The postoperative complications were developed in 2 patients: long hyperthermia (1), pancreatic fistula of proximal gland fragment (1). No cases of PJA failure were registered. Technical complexities during the surgery and the following complications appeared in patients operated for the first 3 months after PF formation. Conclusion. The suggested technique simplifies application of invaginated PJA, raises its reliability, reduces the number of postoperative complications. An optimal period for PJA formation in case of external PF is three and more months from the moment of its occurrence.
References
- Бурнышев И. Г. Хирургическое лечение повреждений поджелудочной железы: автореф. дис. … канд. мед. наук. Пермь 2004; 26.
- Данилов М. В., Федоров В. Д. Повторные и реконструктивные операции при заболеваниях поджелудочной железы: руководство для врачей М.: Медицина, 2003, 424.
- Данилов М. В., Федоров В. Д. Хирургия поджелудочной железы: руководство для врачей. М.: Медицина, 1995; 512.
- Кубышкин В. А., Ахмад Р., Шевченко Т. В. Осложнения и результаты панкреатодуоденальных резекций. Хирургия 1998; 2: 57-60.
- Кубышкин В. А., Вишневский В. А. Рак поджелудочной железы. М.: Медпрактика-М, 2003; 386.
- Кубышкин В. А., Кармазановский Г. Г., Гришанков С. А. Кистозные опухоли поджелудочной железы: диагностика и лечение. М.: Видар-М, 2013, 328.
- Binziad S., Salem A. A., Amira G., Mourad F., Manim T. M. Impact of reconstruction methods and pathological factors on survival after pancreaticoduodenectomy. South Asian. J. Cancer 2013; 2 (3): 160-168.
- Fuks D., Piessen G., Huet E., Tavernier M., Zerbib P., Michot F., Scotte M., Triboulet J. P., Chiche L., Salame E., Segjl P., Pruvot F. R., Mauvais F., Roman H., Verhaeghe P., Regimbeau J. M. Life-threatening postoperative pancreatic fistula (grade C) after pancreaticoduodenectomy: incidence, prognosis, and risk factors. Am. J. Surg. 2009; 197 (6): 702-709.
- Kawai M., Tani M., Hirono S., Ina S., Miyazawa M., Yamaue H. How do we predict the clinically relevant pancreatic fistula after pancreaticoduodenectomy? - analysis in 244 consecutive patients. World J. Surg. 2009; 33 (12): 2670-2678.
- Parr Z. E., Sutherland F. R., Bathe O. F., Dixon E. Pancreatic Fistula: are we making progress? J. HepatobiliaryPancreat. Surg. 2008; 15 (6): 563-569.
- Yang Y. M., Tian X. D., Zhuang Y., Wang W. M., Wan Y. L., Huang Y. T. Risk factors of pancreatic leakage after pancreaticoduodenectomy. World J. Gastroenterol. 2005; 11 (16): 2456-2461.