In reply to 'Pancreatic surgery 101. Drain, no drain, early drain removal or late drain removal. What are the data? Where do we go from here'.

摘要

We read with great interest the editorial related to our paper published in the August 2010 issue of Annals of Surgery (Vol. 252, Issue 2:215-216). We thank Professor Charles Yeo very much for his comments and for his acknowledgement of the contribution to the understanding of pancreatic surgical diseases made by our group.We all know that pancreatic surgery is not without risk and that careful analysis, dissection and interpretation of studies that promote change is therefore essential. In this respect, Professor Yeo's comments highlighted areas of potential concern, but also suggested further advancements into this controversial field and, more importantly, kept the conversation going!Let us address the questions raised by Professor Yeo. As recently remarked by his surgical team, hepaticojejunostomy should be sufficiently downstream from the pancreati-cojejunostomy to allow a bit of redundancy in the jejunal limb.