A reoperation method for pancreatic fistula with hemorrhage after pancreaticoduodenectomy        WU Wen-guang, WU Xiang-song, LI Mao-lan, et al. Department of General Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Corresponding author: LIU Ying-bin, E-mail: laoniulyb@163.com
Abstract    Objective    To evaluate a reasonable reoperation method for pancreatic fistula with hemorrhage after pancreaticoduodenectomy. Methods    From May 2009 to December 2012, 143 cases of pancreaticoduodenectomy (PD) were performed in Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. Among them, 3 cases had pancreatic fistula with hemorrhage. Pancreatic juice external drainage, binding pancreaticojejunostomy, and binding pancreaticogastrostomy was performed in 1 case respectively for residual pancreatic reconstruction. Results Three cases had no serious complication and the first case underwent reoperation after 6 months for pancreatic juice internal drainage. Conclusion    Binding pancreaticojejunostomy (pancreaticogastrostomy) describes a new binding anastomosis technique instead of direct suture for residual pancreatic reconstruction in reoperation, and is worthy of operating method for pancreatic fistula with hemorrhage after PD.