The online version of this article (doi:10.1186/1477-7819-10-114) contains supplementary material, which is available to authorized users.
Authors declared there were no competing interests.
WXF contributed to concept, study design, data analysis, results interpretation and manuscript writing. XY participated in study conceptualization, data collection and drafting the manuscript. ZNY and PJH contributed to conduct of study and data collection. ZW contributed to the conducting of the study, data collection and proof reading. All authors read and approved the final manuscript.
Pancreatic leak was the major concern after pancreatoduodenectomy.
A total of 61 patients who underwent mesh-reinforced pancreatojejunostomy or pancreatogastrostomy from August 2005 to November 2011 were retrospectively analyzed.
The mean anastomosis time of mesh-reinforced pancreatojejunostomy was 25 minutes ranging from 22 to 35 minutes. In mesh-reinforced pancreatogastrostomy, the mean anastomosis time ranged from 20 to38 minutes with an average of 30 minutes. Blood loss was 200 to 4,000 ml with an average of 710 ml in all patients. There was one case of pancreatic leak of Class A, three cases of pancreatic leak of Class B, one case of pancreatic leak of Class C, one case of choledochojejunostomy leakage, one case of gastrojejunostomy leakage, and three cases of abdominal bleeding.
As a new technique, mesh-reinforced pancreatojejunostomy and pancreatogastrostomy might be a safe and feasible procedure to prevent postoperative pancreatic leak.
This research is waivered from trial registration because it was a retrospective analysis of medical records.
Bassi C, Falconi M, Molinari E, Mantovani W, Butturini G, Gumbs AA, Salvia R, Pederzoli P: Duct-to-mucosa versus end-to-side pancreaticojejunostomy reconstruction after pancreaticoduodenectomy: results of a prospective randomized trial. Surgery. 2003, 134: 766-771. 10.1016/S0039-6060(03)00345-3. CrossRefPubMed
Li W, Wang XF, Xu B, Zhu YP, Mou YP: Polypropylene mesh wrap around reinforced pancreatojejunostomy for soft pancreas. Zhonghua Yi Xue Za Zhi. 2009, 89: 1391-1394. PubMed
Amid PK: Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia. 1997, 1: 15-21. 10.1007/BF02426382. CrossRef
- A new feasible technique of mesh-reinforced pancreatojejunostomy and pancreatogastrostomy: retrospective analysis of 61 cases
- BioMed Central
Neu im Fachgebiet Chirurgie
Mail Icon II