Gouffrant J M, Grenet J
Presse Med. 1986 Jan 18;15(2):73-4.
In order to prevent the serious pancreatic fistulae which complicate anastomoses between the pancreatic tail and a jejunal loop after cephalic duodenopancreatectomy, we propose a pancreatic fluid derivation on a temporary drain equivalent to a controlled fistula of Wirsung's duct. This already known technique consists of a punctiform anastomosis on an Escat's supporting drain between the main pancreatic duct and the jejunum. No complication occurs when the drain is removed 12 days later, as shown by a series of 24 cephalic duodeno-pancreatectomies where this technique was used.
为预防胰头十二指肠切除术后胰尾与空肠袢吻合口并发严重胰瘘,我们提出一种在临时引流管上进行胰液转流的方法,相当于对主胰管进行可控性瘘管引流。这种已知技术包括在埃卡特支撑引流管上,于主胰管与空肠之间进行点状吻合。在一系列24例采用该技术的胰头十二指肠切除术中,12天后拔除引流管时未发生并发症。