Effect of the RTPBD Tube Method on Pancreatic Juice and Bile Drainage after Pancreaticoduodenectomy

Gohichi Iwasaki, Masao Kobari, Makoto Sunamura, Kazunori Takeda, Kiyoaki Ohuchi, Seiki Matsuno

The First Department of Surgery, Tohoku University School of Medicine

Thirty-eight patients who underwent pancreaticoduodenectomy during the past 8 years were divided into 2 groups according to the pancreatic and biliary drainage method. One was the previous method of T-tube and tube jejunostomy (19 cases), and the other was the RTPBD tube method (retrograde transhepatic pancreatico-biliary drainage tube method) (19 cases), the postoperative course and complications in the 2 groups were compared. Drainage volume of pancreatic juice was 163.5 ± 13.7 ml/day in the previous method, and 113.4 ± 15.2 ml/day in the RTPBD tube method, and that of bile was 292.3 ± 24.4 ml/day in the previous method, and 323.4 ± 65.2 ml/day in the RTPBD tube method. These differences were not significant. Postoperative increase in ALP was found in 50-60%, and postoperative icterus was found in 20-30% of both groups. Anastomotic leakage of the choledochojejunostomy was found 1 case (4.5%) by the previous method, and 1 case (6.6%) by the RTPBD tube method, that of pancreaticojejunostomy was found in 2 cases (9.5%) by the previous method, and 3 cases (18.7%) by the RTPBD tube method, and these differences were not significant. The RTPBD tube method was easy to perform and was as effective as pancreatic juice and bile drainage after pancreaticoduodenectomy.

Key words
pancreaticoduodenectomy, pancreaticojejunostomy, pancreatic juice drainage, bile drainage

Reprint requests
Goichi lwasaki The First Department of Surgery, Tohoku University School of Medicine
1-1 Seiryou-cho, Sendai City, 980 JAPAN

Accepted
May 13, 1992

To read the PDF file you will need Abobe Reader installed on your computer.