Objective: To summarize the experiences of binding pancreaticogastrostomy in pancreatoduodenectomy.
Methods: Retrospective analysis was performed for the data of 36 patients undergoing pancreatoduodenectomy from January 2010 to January 2013. Binding pancreaticogastrostomy was used to reconstruct digestive tract. The postoperative complications were observed. And follow-ups were conducted on the patency of anastomotic stoma of pancreatogastrostomy and pancreatic duct.
Results: All operations were successful. There were simple pancreatic fistula (n = 7, 19.4%), upper gastrointestinal tract bleeding (n = 2, 5.6%), delayed gastric emptying (n = 1), intra-abdominal infection (n = 1) and infection of incision (n = 3). All were cured with conservative therapy. There was no instance of bile leakage, intra-abdominal bleeding, reoperation or in-hospital mortality.
Conclusions: Binding pancreaticogastrostomy causes no serious pancreatic fistula and complications. And it is a safe and reliable reconstructive approach with manageable follow-ups.