Do patients undergoing neoadjuvant chemotherapy for pancreatic adenocarcinoma have less pancreatic fistula after pancreatico-duodenectomy ? an analysis of the pancreatectomy-targeted nsqip using coarsened-exact matching

Pancreatico-jejunostomy versus hand-sewn closure of the pancreatic stump to prevent pancreatic fistula after distal pancreatectomy: a retrospective analysis

pancreaticogastrostomy following pancreatico- duodenectomy for pancreatic head and periampullary cancer

Although we have been using PG lately, we intend not to discuss the superiority of one over the other in this article. Here we describe a technique using anterior gastrotomy and retraction of the cut end of the stomach to fashion PG following pylorus preserving pancreaticoduodenectomy (PPD) and the standard pancreaticoduodenectomy (PD) (Whipples’ operation) respectively. No report about the ant...

Risk factors and outcomes of postoperative pancreatic fistula after pancreatico-duodenectomy: an audit of 532 consecutive cases

BACKGROUND Pancreatic fistula (PF) remains the most challenging complication after pancreaticoduodenectomy (PD). The purpose of this study was to identify the risk factors of PF and delineate its impact on patient outcomes. METHODS We retrospectively reviewed clinical data of 532 patients who underwent PD and divided them into PF group and no PF group. Risk factors and outcomes of PF followin...

Preventing pancreatic fistula after distal pancreatectomy: An invagination method

Following an increase in the use of the GIA stapler for treating a pancreatic stump, more techniques to prevent postoperative pancreatic juice leakage have been required. We describe one successful case using our new technique of invaginating the cut end of the pancreas into the stomach to prevent a pancreatic fistula (PF) from occurring. A 50-year-old woman with pancreatic cancer in the tail o...

Gastric wall-covering method prevents pancreatic fistula after distal pancreatectomy.

BACKGROUND/AIMS Pancreatic fistula is the most common complication after distal pancreatectomy. The aim of this study was to evaluate retrospectively the usefulness of a new surgical technique, the gastric wall-covering method, after distal pancreatectomy. METHODOLOGY The study group consisted of 53 patients who underwent distal pancreatectomy. The management of the stump of the remnant pancr...