New Invagination Procedure for Pancreaticojejunostomy Using Only Four Sutures: Reply

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Pancreaticojejunostomy: images of an invagination technique.

Pancreaticoduodenectomy is the treatment of choice for resectable periampullary tumors. Anastomosis between the remnant of the pancreas and the intestine can be fashioned by various methods. An anastomotic leak can result in sepsis and even death. The rate of these complications is reported to be 10-28.5% [1]. Two widely used techniques for fashioning a pancreatic anastomosis are practiced: end...

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A novel pancreaticogastrostomy method using only two transpancreatic sutures: early postoperative surgical results compared with conventional pancreaticojejunostomy

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JEJUNAL EVERSION MUCOSECTOMY AND INVAGINATION: AN INNOVATIVE TECHNIQUE FOR THE END TO END PANCREATICOJEJUNOSTOMY

 ABSTRACT Background: The pancreatojejunostomy has notoriously been known to carry a high rate of operative complications, morbidity and mortality, mainly due to anastomotic leak and ensuing septic complications. Objective: In order to decrease anastomotic leak and its attendant morbidity and mortality in operations requiring a pancreato-jejunal anastomosis, and also in order to simplify the op...

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A simple pancreaticojejunostomy technique for hard pancreases using only two transpancreatic sutures with buttresses: a comparison with the previous pancreaticogastrostomy and dunking methods

PURPOSE In this study, we introduced a novel technique, the pancreaticojejunostomy (PJ), which uses only two transpancreatic sutures with buttresses (PJt), and compared the surgical outcomes with previously used methods, especially for hard pancreases. METHODS A total of 101 patients who underwent pancreaticoduodenectomy with hard pancreases were enrolled and divided into 3 groups according t...

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Whipple Procedure: Pancreaticogastrostomy versus Pancreaticojejunostomy: a Literature Review.

Pancreatic cancer is one of the leading causes of oncologic morbidity and mortality worldwide. The definitive surgical management for pancreatic cancer includes pancreaticoduodenectomy with either anastomosis to, or implantation of remnant pancreas to the stomach (pancreaticogastrostomy) or the jejunum (pancreaticojejunostomy). Operative morbidity and mortality following pancreaticoduodenectomy...

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ژورنال

عنوان ژورنال: World Journal of Surgery

سال: 2013

ISSN: 0364-2313,1432-2323

DOI: 10.1007/s00268-013-1956-2