Abstract
Post operative pancreatic fistula (POPF) is a common complication and cause of death after pancreaticoduodenectomy (PD). With classical PD procedures, the predisposing factors and clinical characteristics of POPF are closely related to the single loop style of digestive tract reconstruction. For decades, based on the conventional thinking of technical improvement, the surgeons have tried to enhance the safety of PD procedure mainly by reducing the incidence of POPF and scarcely by paying attention to decreasing the seriousness of POPF. This paper introduced a new strategy to enhance the safety of PD by reducing the seriousness of POPF through a new method of digestive tract reconstruction. The technique is characterized by a dual-loop reconstruction guaranteeing isolated drainage of pancreatic fluid, which can avoid complex fistula of pancreatic fluid, bile and even gastro-intestinal fluid when pancreatic or biliary fistula occur and the subsequent potentiality of serial severe complication. Preliminary studies showed that this strategy could effectively enhance safety of PD by reducing the seriousness of pancreatic fistula. Key words: Pancreatoduodenectomy; Pancreatic fistula; Operation safety; Operation strategy; Compliation
Published Version
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