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Experiences with single-layer biliodigestive anastomosis
1Department of Surgery, Medical Faculty of Pécs University, Pecs, Hungary. kelemen@iseb.pote.hu
Background/Aims:
The right technique for biliodigestive anastomosis is still being researched. The present study investigated the single-layer method.
Methodology:
The authors performed single-layer biliodigestive anastomosis in 153 patients between 1995 January and 2000 August. Among the operative procedures there were pancreatoduodenectomy, pancreatic head resection, pancreatic drainage operation, GEA and in a small percentage of the cases other procedures. 88.2% of the anastomoses were done with a continuous suture technique, mainly with 4/0 PDS.
Results:
In 96 cases the diagnosis was tumor, while the others were benign diseases. Hepatico- or choledochojejunostomy was twice as much as cholecystojejunostomy. There were complications in 29.4% of the cases, from which the rate of biliary fistula was 3.9%. All fistulas healed for conservative therapy. Reoperation was in 7.1%, the operative mortality was 9.8%. Preoperatively 77.1% of the patients had cholestasis, which improved in all cases postoperatively.
Conclusions:
In summary the authors offer the single-layer technique for biliodigestive anastomosis.
