Müftüoglu M A, Saglam Abdullah
Haydarpasa Numune Haydarpasa Teaching & Research Hospital, Uskudar, Istanbul, Turkey.
Hepatogastroenterology. 2003 Nov-Dec;50(54):2233-5.
Leakage of the pancreaticojejunostomy remains a major complication after pancreaticoduodenectomy. Several methods have been advocated in order to reduce anastomotic fistula but none of them reached a significant difference in preventing the leakage. We developed a new technique called "J-pouch dunking pancreaticojejunostomy". A "J" pouch is made from the distal 20 to 30 cm of jejunum by using a GIA linear stapler. A transverse incision is made on the jejunal base. As a result, we have enough jejunal stoma to anastomose the pancreatic remnant. A soft pancreas and small pancreatic size are known to be risk factors in pancreatic anastomosis. This technique is designed to eliminate the several factors related to pancreatic anastomotic leakage.
胰十二指肠切除术后胰肠吻合口漏仍是主要并发症。为减少吻合口漏，人们提出了多种方法，但在预防漏出方面均未达到显著差异。我们开发了一种名为“J形袋浸渍胰肠吻合术”的新技术。使用GIA线性吻合器从空肠远端20至30厘米处制作一个“J”形袋。在空肠底部做一个横向切口。这样，我们就有足够的空肠造口来吻合胰腺残端。已知胰腺质地软和胰腺体积小是胰腺吻合的危险因素。该技术旨在消除与胰腺吻合口漏相关的多种因素。
