J.Jpn. Surg. Soc.. 80(11): 1186-1189, 1979
Report on the annual meeting
PANCREATICOJEJUNOSTOMY
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From the First Department of Surgery, Faculty of Medicine, Mie University Ryuji Mizumoto, Yoshifumi Kawarada, Hiromichi Goshima, Tsutomu Sekoguchi |
Our technique of pancreaticojejunostomy is divided into the following three types, depending on condition of pancreatic duct, and no complications were experienced.
1) Normal pancreatic duct, without any dilatation; 60 yrs male. Intrapancreatic bile duct cancer.
Following small resection of a seromuscular layer on a side of jejunum, the jejunal mucosa was punched out and catheter inserted into pancreatic duct was passed through the mucosal hole, without mucosal suture. Then pancreaticojejunostomy was completed by adding two layers suture of jejunal seromuscular layer to pancreas edge and serosa to serosa.
2) Moderately dilated pancreatic duct; 45 yrs male. Ampullary carcinoma.
Three layers suture was performed on pancreas cut end to a side of jejunum, as jejunal mucosa to pancreatic duct, jejunal seromuscular layer to pancreas edge and serosa to serosa.
3) Markedly dilated pancreatic duct; 64 yrs female. Carcinoma of pancreas head.
Two layers suture was performed as the same as the other gastrointestinal anastomosis, namely whole layer suture and serosal suture between pancreas cut end and a side of jejunum.
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