Skip to main content
Log in

Internal stenting of the hepaticojejunostomy and pancreaticojejunostomy in patients undergoing pancreatoduodenectomy to promote earlier discharge from hospital

  • How To Do It
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Internal stenting of the hepaticojejunostomy and pancreaticojejunostomy was performed in 11 consecutive patients undergoing pancreatoduodenectomy between July 1992, and July 1994, to promote earlier discharge from hospital. Although minor leakage of the pancreaticojejunostomy occurred in 4 patients, this resolved within a short period and all 11 patients were able to be discharged by the 29th postoperative day in good health and without any intubation. Follow-up abdominal X-ray and computed tomography (CT) scans proved that all 22 of the stenting tubes had spontaneously fallen out by the 176th postoperative day. No complication related to the stenting tubes occurred in any of our patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Cammeron JL, Pitt HA, Yeo CJ, Lillemoe KD, Kaufman HS, Coleman J (1993) One hundred and forty-five consecutive pancreaticoduodenectomies without mortality. Ann Surg 217:430–438

    Google Scholar 

  2. Baumel H, Huguier M, Manderscheid JC, Fabre JM, Houry S, Fagot H (1994) Results of resection for cancer of the exocrine pancrease: a study from the French Association of Surgery. Br J Surg 81:102–107

    Google Scholar 

  3. Grace PA, Pitt HA, Tompkins RK, DenBesten L, Longmire Jr WP (1986) Decreased morbidity and mortality after pancreatoduodenectomy. Am J Surg 151:141–149

    Google Scholar 

  4. Wade TP, Radford DM, Virgo KS, Johnson FE (1994) Complications and outcomes in the treatment of pancreatic adenocarcinoma in the United States veterans. Surg Gynecol Obstet 179:38–48

    Google Scholar 

  5. Cullen JJ, Sarr MG, Ilstrup DM (1994) Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, and management. Am J Surg 168:295–298

    Google Scholar 

  6. Tashiro S, Murata E, Hiraoka T, Nakamura K, Watanabe E, Miyauchi Y (1987) New technique for pancreaticojejunostomy using a biological adhesive. Br J Surg 74:392–394

    Google Scholar 

  7. Hiraoka T, Kanemitsu K, Tsuji T, Saitoh N, Takamori H, Akamine T, Miyauchi Y (1993) A method for safe pancreaticojejunostomy. Am J Surg 165:270–272

    Google Scholar 

  8. Hamanaka Y, Suzuki T (1994) Total pancreatic duct drainage for leak-proof pancreatojejunostomy. Surgery 115:22–26

    Google Scholar 

  9. Telford GL, Robert Mason G (1984) Pancreaticogastrostomy: clinical experience with a direct pancreatic-duct-to-gastric-mucosa anastomosis. Am J Surg 147:832–837

    Google Scholar 

  10. Takao S, Shimazu H, Maenohara S, Shinchi H, Aikou T (1993) Modified pancreaticogastrostomy following pancreaticoduodenectomy. Am J Surg 165:317–321

    Google Scholar 

  11. Mortensen J, Kruse A (1992) Endoscopic management of postoperative bile leaks. Br J Surg 79:1339–1341

    Google Scholar 

  12. Kiil J, Rønning H (1993) Pancreatic fistula cured by an endoprosthesis in the pancreatic duct. Br J Surg 80:1316–1317

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yoshimi, F., Ono, H., Asato, Y. et al. Internal stenting of the hepaticojejunostomy and pancreaticojejunostomy in patients undergoing pancreatoduodenectomy to promote earlier discharge from hospital. Surg Today 26, 665–667 (1996). https://doi.org/10.1007/BF00311679

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00311679

Key Words

Navigation