Is sutureless pancreaticogastrostomy more effective than single-layer duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy?

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Is Sutureless Pancreaticogastrostomy More Effective than Single-Layer Duct-to-Mucosa Pancreaticojejunostomy in Pancreaticoduodenectomy?

OBJECTIVE The present study aimed to assess the safety of pancreatic anastomosis after pancreaticoduodenectomy (PD) and to compare the results of sutureless pancreatogastrostomy (PG) with those of single-layer duct-to-mucosa pancreatojejunostomy (PJ) after PD in patients with malignant disease of the pancreatic head and of the periampullary region. MATERIALS AND METHODS The study included 173...

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Triple-layer duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy.

BACKGROUND Pancreaticoduodenectomy is associated with a high degree of morbidity; the main cause is failure of the pancreatic anastomosis. It is imperative that this is performed safely and is secure. Pancreatic leaks will lead to serious morbidity and even mortality. Here we describe the use of a new surgical triple-layer pancreaticojejunostomy in a group of patients with minimal morbidity. ...

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Pancreaticojejunostomy or Pancreaticogastrostomy to Prevent Pancreatic Fistula Formation after Pancreaticoduodenectomy

Objective: To compare the results of pancreaticogastrostomy (PJ) with pancreaticojejunostomy (PG) in preventing fistula formation after pancreaticoduonectomy (PD). Study design: Quasi-experimental study. Place and Duration of Study: The study was carried out in Military and Combined Military Hospital Rawalpindi from August 2008 to March 2015 Material and methods: Patients of both gender aged 45...

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Double Duct to Mucosa Pancreaticojejunostomy for Bifid Pancreatic Duct following Pylorus Preserving Pancreaticoduodenectomy: A Case Report

Bifid pancreatic duct represents a relatively rare anatomical variation of the pancreatic ductal system, in which the main pancreatic duct is bifurcated along its length. This paper describes the challenging surgical management of a 68-year-old male patient, with presumptive diagnosis of periampullary malignancy who underwent a successful double duct to mucosa pancreaticojejunostomy for bifid p...

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One-layer versus two-layer duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy: study protocol for a randomized controlled trial

BACKGROUND Although various pancreaticojejunal duct-to-mucosa anastomosis methods have been developed to reduce the postoperative risks of pancreaticoduodenectomy, pancreatic fistula remains the most serious complication with a high incident rate. The aim of this study is to compare the safety and effectiveness of one-layer and two-layer duct-to-mucosa pancreaticojejunostomy in patients undergo...

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ژورنال

عنوان ژورنال: HPB

سال: 2018

ISSN: 1365-182X

DOI: 10.1016/j.hpb.2018.06.1950