Application Of Bio-mesh-reinforced Pancreatico-gastrostomy After Pancreaticoduodenectomy

Objective Pancreatic leakage is a major concern after pancreaticoduodenectomy. Our aim was to evaluate the clinical effects of bio-Mesh-reinforced pancreatogastrostomy.Methods A total of30patients undergoing bio-mesh-reinforced pancreatogastrostomy from May2011to December2013were retrospectively analyzed. Patients’ demographic data, operative parameters, and post-operative outcomes were analyzed. The severity of pancreatic leak was determined according to the criteria of International Study Group on Pancreatic Fistula (ISGPF).Results The anastomosis time of bio-Mesh-reinforced pancreatogastrostomy ranged from20-35minutes (mean24.2±4.06minutes). Intra-operative leak tests showed all pancreatic anastomoses were watertight.Seven patient(23.3%) was recognized to have pancreatic leakage of grade A. One patient(3.3%) was recognized to have pancreatic leakage of grade B. No patient developed pancreatic leakage of class C after operation. There were two cases of abdominal infection.No severe complications such as hemorrhage,bile leakage,and gastrojejunostomy leakage were observed in our study.All patients recovered well within Monthl post-discharge.Conclusion This novel technique might be a simple and feasible strategy. It is applicable to all types of pancreatic remnants.