Manabe T, Suzuki T, Tobe T
Surg Gynecol Obstet. 1986 Oct;163(4):378-80.
In order to avoid complications after pancreaticoduodenectomy, a simple and safe technique for pancreatojejunal anastomosis was developed. After resection of the pancreas, a vinyl chloride tube with a circumferential knot is inserted into the pancreatic duct and tied with a Dexon suture. Pancreatojejunal anastomosis is performed by approximating the seromuscular layer of the jejunum around the opening to the parenchymal tissue of the pancreas with interrupted nylon sutures, eliminating the need for direct anastomosis between the duct and jejunum. The knot on the tube prevents the tube from dislodging, and pancreatic juice is completely drained until the tube is safely removed two to three weeks after the operation.
为避免胰十二指肠切除术后出现并发症，研发了一种简单且安全的胰空肠吻合技术。胰腺切除后，将带有环形结的氯乙烯管插入胰管并用涤纶缝线结扎。通过用间断尼龙缝线将空肠开口周围的浆肌层与胰腺实质组织贴合来进行胰空肠吻合，无需在胰管和空肠之间进行直接吻合。管上的结可防止管子移位，并且在术后两到三周安全取出管子之前，胰液可完全引流。
