Modified 1-Layer Duct-to-Mucosa Pancreaticojejunostomy Reduces Pancreatic Fistula After Pancreaticoduodenectomy
نویسندگان
چکیده
منابع مشابه
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. ...
متن کاملPancreaticojejunostomy 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...
متن کاملDouble 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...
متن کاملSealing pancreaticojejunostomy in combination with duct parenchyma to mucosa seromuscular one-layer anastomosis: a novel technique to prevent pancreatic fistula after pancreaticoduodenectomy.
Introduction: Pancreatic fistula (PF) is the most serious complication after pancreaticoduodenectomy (PD). Numerous techniques have been developed to treat PF, although none has effectively reduced its rate. Herein, we report our preliminary experience using a new technique known as pancreaticojejunostomy (PJ). Methods: Twenty-two patients underwent PD for the treatment of neoplasms, with end-t...
متن کاملIn situ vs ex situ pancreatic duct stents of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy with billroth I-type reconstruction.
BACKGROUND Pancreatic fistula is a leading cause of morbidity and mortality after pancreaticoduodenectomy, and an external stent of pancreaticojejunostomy has been recommended to prevent pancreatic fistula. HYPOTHESIS Duct-to-mucosa pancreaticojejunostomy should not require placement of an external stent. DESIGN Nonrandomized control study. SETTING University hospital. PATIENTS Seventy-...
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ژورنال
عنوان ژورنال: International Surgery
سال: 2018
ISSN: 0020-8868,2520-2456
DOI: 10.9738/intsurg-d-15-00094.1