Stent A pancreaticojejunostomy after pancreatoduodenectomy:Is it always necessary?  

作　　者：Dimitrios Symeonidis Dimitris Zacharoulis Georgios Tzovaras Labrini Kissa Athina A Samara Eleana Petsa Konstantinos Tepetes 

机构地区：[1]Department of Surgery,University Hospital of Larissa,Larissa 41110,Greece [2]Department of General Surgery,University Hospital of Larissa,Larissa 41110,Greece

出　　处：《World Journal of Methodology》2024年第3期23-29,共7页世界方法学杂志

摘　　要：The establishment of a postoperative pancreatic fistula(POPF)is considered the most common and,concomitantly,the most serious complication associated with pancreaticoduodenectomy(PD).The search for either technical modifications of the operative technique or pharmaceutical interventions that could possibly aid in decreasing the incidence of this often-devastating complication appears justified.The stenting of the pancreatic duct,with the use of either internal or external stents,has been evaluated in this direction.In theory,it is an approach that could eliminate many pathophysiological factors responsible for the occurrence of a POPF.The purpose of the present study was to review the current data regarding the role of pancreatic duct stenting on the incidence of POPF,after PD,by using PubMed and Reference Citation Analysis.In general,previous studies seem to highlight the superiority of external stents over their internal counterparts in regard to the incidence of POPF;this is at the cost,however,of increased morbidity associated mainly with the stent removal.Certainly,the use of an internal stent is a less invasive approach with acceptable results and is definitely deprived of the drawbacks arising through the complete diversion of pancreatic juice from the gastrointestinal tract.Bearing in mind the scarcity of high-quality data on the subject,an approach of reserving stent placement for the high-risk for POPF patients and individualizing the selection between the use of an internal or an external stent according to the distinct characteristics of each individual case scenario appears appropriate.

关 键 词：PANCREATICODUODENECTOMY Postoperative pancreatic fistula Pancreatic stent PANCREATICOJEJUNOSTOMY 

分 类 号：R656.6[医药卫生—外科学]