Pancreaticojejuno Anastomosis after Pancreaticoduodenectomy : Brief Pathophysiological Considerations for a Rational Surgical Choice
Joint Authors
Peparini, Nadia
Cosimo Russillo, Gabriele
Chirletti, Piero
Dinatale, Giuseppe
Antonio Rogano, Adolfo
Caronna, Roberto
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
The best pancreatic anastomosis technique after pancreaticoduodenectomy (PD) is still debated.
Pancreatic fistula (PF) is the most important complication but is also related to postoperative bleedings and pancreatic remnant involution.
We support pancreaticojejuno anastomosis (PJ) advantages describing our technique with brief technical considerations.
Materials and Methods.
89 consecutive patients underwent PD with suprapyloric gastric resection and double loop reconstruction.
Pancreaticojejunal end-to-end anastomosis was done by simple invagination with a single layer of interrupted pledget-supported Ticron stitches.
Results.
Pancreatic fistula occurred in seven patients (7.8%): six cases of grade A fistula resolved spontaneously, and in only one case of grade B fistula percutaneous drainage was necessary.
Postoperative hemorrhage occurred in only two (2.2%) of 89 patients.
Conclusion.
Pancreaticojejunostomy with minor changes in anastomotic techniques can contribute to improvement of the outcome of Roux-en-Y reconstruction regarding PF and other related complications.
The particular reconstruction reported seems also to preserve the pancreatic exocrine function.
American Psychological Association (APA)
Caronna, Roberto& Peparini, Nadia& Cosimo Russillo, Gabriele& Antonio Rogano, Adolfo& Dinatale, Giuseppe& Chirletti, Piero. 2012. Pancreaticojejuno Anastomosis after Pancreaticoduodenectomy : Brief Pathophysiological Considerations for a Rational Surgical Choice. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-487079
Modern Language Association (MLA)
Caronna, Roberto…[et al.]. Pancreaticojejuno Anastomosis after Pancreaticoduodenectomy : Brief Pathophysiological Considerations for a Rational Surgical Choice. International Journal of Surgical Oncology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-487079
American Medical Association (AMA)
Caronna, Roberto& Peparini, Nadia& Cosimo Russillo, Gabriele& Antonio Rogano, Adolfo& Dinatale, Giuseppe& Chirletti, Piero. Pancreaticojejuno Anastomosis after Pancreaticoduodenectomy : Brief Pathophysiological Considerations for a Rational Surgical Choice. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-487079
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-487079