Department of General Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.
Updates Surg. 2011 Jun;63(2):69-74. doi: 10.1007/s13304-011-0067-6. Epub 2011 Mar 26.
Potential mechanisms of occurrence of pancreatic leakage mainly include leakage from the needle hole and from the seam at the adjacent stitch, anastomotic blood supply, tension at the anastomosis, poor anastomotic healing, etc. Binding pancreaticojejunostomy (BPJ) is a safe and effective technique that avoids the primary complication of pancreatic anastomosis leakage. There are two problems with BPJ: a high discrepancy in the size of pancreas stump and the jejunal lumen; sutures on to the pancreas for fixation might cause exudation of pancreatic juice into the abdominal cavity. In order to avoid these two problems, binding pancreaticogastrostomy (BPG) is designed and successfully performed clinically with encouraging results. BPG is good for accommodating a large pancreas stump, and the binding technique is very helpful in minimizing the leak rate of pancreaticogastrostomy.
胰漏发生的潜在机制主要包括针孔漏和相邻缝线处漏、吻合口血供、吻合口张力、吻合口愈合不良等。捆绑式胰肠吻合术（BPJ）是一种安全有效的技术，可以避免胰吻合口漏的主要并发症。BPJ 存在两个问题：胰残端和空肠腔大小差异大；缝线固定在胰上可能导致胰液渗出到腹腔。为了避免这两个问题，设计了捆绑式胰胃吻合术（BPG），并在临床上成功实施，结果令人鼓舞。BPG 有利于容纳大的胰残端，捆绑技术有助于最大限度地降低胰胃吻合口漏的发生率。
