Precaution of Pancreatic Fistula after Pancreaticoduodenectomy (Report of 63 Cases)

[Objective] To study precautionary measure of pancreatic fistula after pancretico duodenectomy (PD). [Methods] Therapeutic course of 63 patients was retrospectively analysed. On the basis of author's experience and domestic and foreign literature, choice of operative mode, the common cause and precautionary measure of pancreatic fistula were completely discussed. [Results] In this group, 62 cases were cured, one case died from extensive oozing blood in operation. There was no pancreatic fistula happened after operation, there was no infection of abdominal cavity or dehiscence of incision. Follow-up: infection occurred again and again in two cases due to stenosis of cholangiojejunum anastomosis, who were cured by the second internal drainage of Roux-Y type. 3 cases suffered from incomplete intestinal obstruction, which were cured by conservative treatment. [Conclusions] Good preoperative preparation, skilled operative technique and proper postoperative management can prevent pancreatic or biliary fistula after PD.