One-layer pancreaticojejunostomy for prevention of pancreatic fistulae.

BACKGROUND

Anastomotic leakage at the pancreaticojejunostomy remains a common and dreaded complication after pancreaticoduodenectomy. This study was to introduce a method for lowering the mortality, morbidity, and other postoperative complications after pancreaticoduodenectomy.

METHODS

From January 1991 to December 2001, twenty-six patients were treated using one-layer pancreaticojejunostomy. The mean age of these patients was 52.3 years. Some of these patients were complicated by hypoproteinemia, anemia and jaundice. All patients were subjected to pancreaticoduodenectomy, reconstruction of the digestive tract by Child's method, and one-layer or Braun's anastomosis after pancreaticojejunostomy, choledochojejunostomy, and gastrojejunostomy.

RESULT

No death and pancreatic fistula were observed after operation.

CONCLUSION

One-layer pancreaticojejunostomy is simple and safe.