关键词: 胰十二指肠切除术, 胰肠吻合, 胰瘘

Abstract:

Pure pancreatic fistula after end to side penetrating-suture pancreaticojejunostomy：A clinical analysis of 19 cases        HUANG Jian-jun，CHEN Yi-jun，ZHU Xue-feng，et al. Department of General Surgery，Taixing People’s Hospital，Taixing 225400，China
Corresponding author：CHEN Yi-jun，E-mail：chenyijuntx@163.com
Abstract    Objective    To investigate the occurrence，development and prognosis of pure pancreatic fistula after pancreaticoduodenectomy and pancreaticojejunostomy. Methods    The clinical data of 48 cases of pancreaticoduodenectomy performed from May 2005 to July 2013 in Taixing People’s Hospital were analyzed retrospectively. All patients performed end to side penetrating-suture pancreaticojegunostomy. Diagnosing and grading the cases were according to the diagnostic and grading standard Ⅱ of ISGPF. All the cases were classified into pancreatic fistula and pure pancreatic fistula according to their characteristics. Results    In the 48 cases，there were 19 cases of pancreatic fistula （39.6%），including 16 A-level cases and 3 B-level cases. Anastomotic contrast confirmed that there was no anastomotic leakage，which indicated that all cases were simple  pancreatic fistula. The incidence of pancreatic fistula in the patients whose pancreatic texture （16/31, 51.6%）was soft and brittle was significant higher than that of patients whose pancreatic texture was hard（3/17, 17.6%）. There was no reoperation cases or surgical deaths, All were cured by drainage. Conclusion    After end to side penetrating-suture pancreaticojejunostomy，the incidence of pancreatic fistula is relatively high. All of them are simple pancreatic fistula，and the prognosis of them is good after drainage treatment.

Key words: pancreaticoduodenectomy, pancreaticojejunostomy, pancreatic fistula