Shen’s Whole-Layer Tightly Appressed Anastomosis Technique for Duct-to-Mucosa Pancreaticojejunostomy in 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 کاملIs 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...
متن کاملA dog model of pancreaticojejunostomy without duct-to-mucosa anastomosis.
CONTEXT Various anastomosis techniques have been introduced for the safe pancreaticoenterostomy. Objective In the present study, we developed an experimental animal model for simple pancreaticojejunostomy and evaluated the feasibility, safety, and efficacy of this technique. ANIMALS Ten dogs were studied. INTERVENTION The dogs underwent the simple approximation ("docking") method for pancre...
متن کاملPancreaticojejunostomy using duct-to-mucosa anastomosis without a stenting tube.
BACKGROUND PURPOSE There is a high risk of anastomotic leakage after pancreaticojejunostomy following pancreaticoduodenectomy in patients with a normal soft pancreas because of the high degree of exocrine function. Therefore, pancreaticojejunostomy is generally performed using a stenting tube (stented method). However, pancreaticojejunostomy with a certain duct-to-mucosa anastomosis does not al...
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...
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ژورنال
عنوان ژورنال: Medical Science Monitor
سال: 2016
ISSN: 1643-3750
DOI: 10.12659/msm.896853