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A Simple and Safe Anastomosis for Pancreatogastrostomy Using One Binding Purse-String and Two Transfixing Mattress Sutures
Joint Authors
Fendrich, V.
Bartsch, D. K.
Langer, P.
Dietzel, K.
Kanngießer, V.
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-27
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Pancreatic anastomotic leakage remains a persistent problem after pancreaticoduodenectomy (PD), especially in the presence of a soft, nonfibrotic pancreas.
A modified technique for pancreatogastrostomy was devised, which combines one binding purse-string and two transfixing mattress sutures between the pancreatic stump and the posterior gastric wall.
This technique was applied in 35 patients after PD for malignant and benign diseases of whom 10 (28.6%) had a soft pancreas.
Median time for the anastomosis was 18 minutes.
Operative mortality was zero, and morbidity was 34.3%.
Three (8.6%) patients developed a pancreatic fistula (2 type A, 1 type B) as classified according to the International Study Group on pancreatic fistula.
All fistulas resolved without further intervention.
The described technique is a simple and safe reconstruction procedure after PD that warrants further evaluation.
American Psychological Association (APA)
Bartsch, D. K.& Langer, P.& Kanngießer, V.& Fendrich, V.& Dietzel, K.. 2012. A Simple and Safe Anastomosis for Pancreatogastrostomy Using One Binding Purse-String and Two Transfixing Mattress Sutures. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-493092
Modern Language Association (MLA)
Bartsch, D. K.…[et al.]. A Simple and Safe Anastomosis for Pancreatogastrostomy Using One Binding Purse-String and Two Transfixing Mattress Sutures. International Journal of Surgical Oncology No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-493092
American Medical Association (AMA)
Bartsch, D. K.& Langer, P.& Kanngießer, V.& Fendrich, V.& Dietzel, K.. A Simple and Safe Anastomosis for Pancreatogastrostomy Using One Binding Purse-String and Two Transfixing Mattress Sutures. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-493092
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493092