Pancreatic reconstruction techniques after pancreaticoduodenectomy: a review of the literature

作者：Yien Xiang, Jiacheng Wu, Chao Lin, Yongsheng Yang, Dan Zhang, Yingjun Xie, Xiaoxiao Yao, Xuewen Zhang · 发表于：Expert Review of Gastroenterology & Hepatology · 年份：2019 · DOI：10.1080/17474124.2019.1640601 · 被引用次数：41 · 研究领域：Pancreatic and Hepatic Oncology Research、Pancreatitis Pathology and Treatment、Gallbladder and Bile Duct Disorders

Introduction: Postoperative pancreatic fistula is the most troublesome complication after pancreaticoduodenectomy, and is an on-going area of concern for pancreatic surgeons. The specific pancreatic reconstruction technique is an important factor influencing the development of postoperative pancreatic fistula after pancreaticoduodenectomy.Areas covered: In this paper, we briefly introduced the definition and relevant influencing factors of postoperative pancreatic fistula. We performed a search of all meta-analyses published in the last 5 years and all published randomized controlled trials comparing different pancreatic anastomotic techniques, and we evaluated the advantages and disadvantages of different techniques.Expert opinion: No individual anastomotic method can completely avoid postoperative pancreatic fistula. Selecting specific techniques tailored to the patient’s situation intraoperatively may be key to reducing the incidence of postoperative pancreatic fistula.