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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2007, Vol. 1 Issue (4) : 369-372     DOI: 10.1007/s11684-007-0071-x
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.
Issue Date: 05 December 2007
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