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  • Title: Prevention of pancreatic leakage after pancreaticoduodenectomy by modified Child pancreaticojejunostomy.
    Author: Yang YL, Xu XP, Wu GQ, Yue SQ, Dou KF.
    Journal: Hepatobiliary Pancreat Dis Int; 2008 Aug; 7(4):426-9. PubMed ID: 18693181.
    Abstract:
    BACKGROUND: Pancreatic leakage after pancreaticoduodenectomy is associated with a morbidity and mortality. Different techniques have been used to make a safe anastomosis to the left pancreatic remnant. METHODS: We performed "modified Child pancreaticojejunostomy" for 31 patients, by which end-to-end pancreaticojejunal anastomosis was made with a two-layer polypropylene continuous running suture. RESULTS: In the patients who underwent pancreaticojejunostomy, the average operative time was 14.2 minutes. There was no pancreaticoenterostomy leakage in all patients, and no deaths occurred. CONCLUSIONS: In pancreaticojejunostomy, pancreatic anastomosis is time-saving and free from complications. Thus it is an improvement of pancreaticojejunostomy.
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