Method of pankreatikojejunostomy during pancreatoduodenal resection

S.V. Morozov

Federal Research Center of Nutrition, Biotechnology and Food Safety

A.I. Lobakov

Moscow Regional Research Clinical Institute

A.N. Shcherbyuk

Moscow Regional Research Clinical Institute

V.B. Rumyancev

M.F. Vladimirsky Moscow regional research clinical institute

O.V. Kytko

I.M. Sechenov First Moscow State Medical University

T.A. Bogoyavlenskaya

First Moscow State Medical University named after I.M. Sechenov (Sechenov University)

V.M. Manuylov

V.N. Rozanov Moscow Region Hospital

S.V. Shalamova

Moscow Regional Research Clinical Institute

Method of pankreatikojejunostomy during pancreatoduodenal resection

Authors:

S.V. Morozov, A.I. Lobakov, A.N. Shcherbyuk, V.B. Rumyancev, O.V. Kytko, T.A. Bogoyavlenskaya, V.M. Manuylov, S.V. Shalamova

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Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(2): 50‑54

DOI: 10.17116/operhirurg2022602150

Downloaded: 15

To cite this article:

Morozov SV, Lobakov AI, Shcherbyuk AN, Rumyancev VB, Kytko OV, Bogoyavlenskaya TA, Manuylov VM, Shalamova SV. Method of pankreatikojejunostomy during pancreatoduodenal resection. Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(2):50‑54. (In Russ., In Engl.)
https://doi.org/10.17116/operhirurg2022602150

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

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BACKGROUND

One of the most important problems of pancreas resection interventions is the occurrence of acute postoperative pancreatitis associated with necrosis of the pancreas stump in combination with anastomotic leakage, the formation of pancreatic and biliary fistulas.

OBJECTIVE

Research of a new method of pancreaticojejunostomy during pancreatoduodenal resection.

MATERIAL AND METHODS

The method of pancreaticojejunostomy during pancreatoduodenal resection was used in 18 patients. The method consists in a certain sequence of carrying out 3 threads parenchyma—duct—intestine—duct—parenchyma in compliance with the suture technology of the duct—mucous type. The period for the formation of anastomoses was, on average, 5—6 minutes. The consistency of the anastomoses, the development of acute pancreatitis during the postoperative period were assessed.

RESULTS

In 17 cases, there were no complications in the postoperative period, including severe acute postoperative pancreatitis. Complications in the form of acute postoperative pancreatitis were observed in one patient (5.5%).

CONCLUSIONS

The developed method of pancreaticojejunostomy is performed with minimal use of atraumatic suture material, which reduces trauma to the pancreatic stump parenchyma. The method simplifies the technique and shortens the formation time of the pancreaticojejunal fistula.

Keywords:

pankreatikojejunostomy

pancreatoduodenal resection

acute post-operative pancreatitis

Authors:

S.V. Morozov

Federal Research Center of Nutrition, Biotechnology and Food Safety

A.I. Lobakov

Moscow Regional Research Clinical Institute

A.N. Shcherbyuk

Moscow Regional Research Clinical Institute

V.B. Rumyancev

M.F. Vladimirsky Moscow regional research clinical institute

O.V. Kytko

I.M. Sechenov First Moscow State Medical University

T.A. Bogoyavlenskaya

First Moscow State Medical University named after I.M. Sechenov (Sechenov University)

V.M. Manuylov

V.N. Rozanov Moscow Region Hospital

S.V. Shalamova

Moscow Regional Research Clinical Institute

Received:

09.11.2021

Accepted:

12.01.2022

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