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A novel method for reconstruction in laparoscopic pancreaticoduodenectomy: an experience of 13 cases |
| LU Bangyu1, HUANG Yubin1, CAI Xiaoyong1, HUANG Fei1, LU Wenqi1, XU Jing1, LIU Zujun1, YAN Yihe1, LI Jianjun1, LI Jie2 |
| 1.Centre of Minimally Invasive Surgery, Guangxi Medical University, Nanning 530021, China; 2.Department of Hepatobiliary Surgery, Shandong Qianfoshan Hospital, Jinan 250014, China; |
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Abstract Laparoscopic pancreaticoduodenectomy (LPD) is a challenging operation to general surgeon. Up to date, only about 135 cases have been reported, 16 cases in China, 119 cases outside China. The reconstruction of alimentary system is a key procedure to ensure success of the whole surgery. It is worth investigating the methods of reconstruction in LPD. A retrospective study is made to investigate the methods of reconstruction in LPD. We analyze 13 cases of LPD performed in our center. Child s or modified Child s method was used to make the reconstruction in our practice. We tried three methods to make the anastomosis of pancreaticojejunostomy, including end-to-end dunking binding pancreaticojejunostomy in two cases, end-to-end dunking pancreaticojejunostomy using interrupted suture in two cases, and duct-to-jejunal end-to-side embedding pancreaticojejunostomy in nine cases. The clinical data was collected and analyzed. Three of four patients, who underwent end-to-end pancreaticojejunostomy, had a little pancreatic leakage, especially in the first case. None of other nine patients, who underwent duct-to-jejunal end-to-side embedding pancreaticojejunostomy, was detected to have pancreatic leakage, and the operating time of these nine cases was less than other four cases. Duct-to-jejunal end-to-side embedding pancreaticojejunostomy is a safe and efficient method of reconstruction in LPD.
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Issue Date: 05 December 2007
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