Method of pankreatikojejunostomy during pancreatoduodenal resection

Morozov S.V.

Federal Research Center of Nutrition, Biotechnology and Food Safety

ORCID: https://orcid.org/0000-0002-4881-253X

Lobakov A.I.

Moscow Regional Research Clinical Institute

Shcherbyuk A.N.

Moscow Regional Research Clinical Institute

Rumyancev V.B.

M.F. Vladimirsky Moscow regional research clinical institute

Kytko O.V.

I.M. Sechenov First Moscow State Medical University

Bogoyavlenskaya T.A.

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

Manuylov V.M.

V.N. Rozanov Moscow Region Hospital

Shalamova S.V.

Moscow Regional Research Clinical Institute

Method of pankreatikojejunostomy during pancreatoduodenal resection

Authors:

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

More about the authors

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

DOI: 10.17116/operhirurg2022602150

Downloaded: 27

To cite this article:

Morozov SV, Lobakov AI, Shcherbyuk AN, et al. . 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

Подписка 2025-2 (Russian Journal of Operative Surgery and Clinical Anatomy)

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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:

Morozov S.V.

Federal Research Center of Nutrition, Biotechnology and Food Safety

ORCID: https://orcid.org/0000-0002-4881-253X

Lobakov A.I.

Moscow Regional Research Clinical Institute

Shcherbyuk A.N.

Moscow Regional Research Clinical Institute

Rumyancev V.B.

M.F. Vladimirsky Moscow regional research clinical institute

Kytko O.V.

I.M. Sechenov First Moscow State Medical University

Bogoyavlenskaya T.A.

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

Manuylov V.M.

V.N. Rozanov Moscow Region Hospital

Shalamova S.V.

Moscow Regional Research Clinical Institute

Received:

09.11.2021

Accepted:

12.01.2022

List of references:

Shhasty’j AT. Oslozhneniya proksimal’ny’x rezekcij podzheludochnoj zhelezy’. Novosti khirurgii. 2011;19(3):30-43. (In Russ.).
Kriger AG, Kubyshkin VA, Karmazanovskiĭ GG, Svitina KA, Kochatkov AV, Berelavichus SV, Kozlov IA, Korolev SV, Gorin DS. The postoperative pancreatitis after the pancreatic surgery. Khirurgiya. Zurnal im. N.I. Pirogova (Pirogov Russian Journal of Surgery). 2012;4:14-19. (In Russ.).
Bruns CJ. Jauch KW. Surgical treatment of pancreatic cancer. Dtsch Med Wochenschr. 2007;132:798-802. https://doi.org/10.1055/s-2007-973623
Kubyshkin VA, Kriger AG, Vishnevskiĭ VA, Gorin VS, Lebedeva AN, Zagagov SO, Akhtanin EA. Khirurgiya. Zurnal im. N.I. Pirogova Pirogov (Russian Journal of Surgery). 2012;11:4-7. (In Russ.).
Ramacciato G, Mercantini P, Petricciani N, Nigri GR, Kazemi A, Muroni M, Del Gaudio M, Balesh A, Cescon M, Cucchetti A, Ravaioli M. Risk factors of pancreatic fistula after pancreaticiduodenectomy: a collective review. Am Surg. 2011;77(3):257-269.
Baĭchorov ÉKh, Novodvorskiĭ SA, Khatsiev BB, Kuzminov AN, Baĭchorov MÉ, Gridasov IM. The pancreaticogastroanastomosis by pancreatoduodenal resection. Khirurgiya. Zurnal im. N.I. Pirogova (Pirogov Russian Journal of Surgery). 2012;6:19-23. (In Russ.).
Maev IV, Kucheryavy’j YuA. Bolezni podzheludochnoj zhelezy’: prakticheskoe rukovodstvo. M. 2009;736. (In Russ.).
Frieess H, Ho CK, Kleef J, Buchler MW. Pancreaticoduodenostomy, distal pancreaticostomy, segmental pancreaticostomy, total pancreaticostomy, and transduodenal resection of the papilla of vater. In Surgery of the liver, biliary tract and pancreas. Blumgart L.N. 2007;877-903. https://doi.org/10.1016/B978-1-4160-3256-4.50068-5
Kleespies A, Rentsch M, Seeliger H, Albertsmeier M, Jauch KW, Bruns CJ. Blumgart anastomosis for pancreaticojejunostomy minimizes severe complications after pancreatic head resection. Br J Surg. 2009;96(7):741-750. https://doi.org/10.1002/bjs.6634
Strasberg SM, Drebin JA, Mokadam NA, Green DW, Jones KI, Ehlers JP, Linehan D. Prospective trial of a blood supply-based technigue of pancreaticojejunostomy: effect of anastomotic failure in the Whipple procedure. J Am Coll Surg. 2002;194:746-760. https://doi.org/10.1016/s1072-7515(02)01202-4
Barvanyan GM. Sposob formirovaniya pankreatoeyunoanastomoza pri pankreatoduodenal’noj rezekcii. Khirurgiya. Zurnal im. N.I. Pirogova (Pirogov Russian Journal of Surgery). 2014;8:28-31. (In Russ.).
Shukla PJ, Barreto SG, Fingerhat A, Bassi C, Buchler MW, Dervenis C, Gouma D, Izbicki JR, Neoptolemos J, Padbury R, Sarr MG, Traverso W, Yeo CJ. Toward improving uniformity and standardization in the reporting of pancreatic anastomoses: a new classification system by the international study group of pancreatic surgery (ISGPS). Surgery. 2010;147(1):144-153. https://doi.org/10.1016/j.surg.2009.09.003
Voskanyan SE, Korot’ko GF. Morfofunkcional’naya organizaciya podzheludochnoj zhelezy i ostryj posleoperacionnyj pankreatit (eksperimental’nye i klinicheskie aspekty). M.: Litterra; 2017. (In Russ.).
Morozov SV, Lobakov AI, Kruglov EE, Dobromyslov EN. Sposob pankreatikoenteroanastomoza. Patent na izobretenie №2597388. Zayavka №2015130200/14, 22.07.2015. Opublikovano 10.09.2016 Byul. №25. (In Russ.).

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