Use of Ultrasonically Activated Shears Improves the Safety of Pancreaticojejunostomy After Pancreaticoduodenectomy

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Use of ultrasonically activated shears improves the safety of pancreaticojejunostomy after pancreaticoduodenectomy.

OBJECTIVE To study whether the use of ultrasonically activated shears (UAS) would improve the safety of pancreatojejunal anastomosis after pancreaticoduodenectomy. DESIGN Retrospective analysis. SETTING University teaching hospital. PATIENTS Seventy patients underwent pancreaticoduodenectomy between April 1997 and May 2001. MAIN OUTCOME MEASURES Leakage of pancreatojejunal anastomosis a...

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Pancreaticojejunostomy - Risk Anastomosis after Cephalic Pancreaticoduodenectomy.

INTRODUCTION The authors bring to attention pancreaticojejunalanastomosis (PJA) performed after cephalic pancreaticoduodenectomy(CPD). This type of anastomosis is renowned forits high risk of complications. Among these complications, pancreatic fistula (PF) is distinguishable due to a significant frequency, averaging 10%. It is perhaps the most unsafe type of anastomosis in digestive surgery, d...

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Mesh-reinforced pancreaticojejunostomy versus conventional pancreaticojejunostomy after pancreaticoduodenectomy: a retrospective study of 126 patients

BACKGROUND Pancreatic fistula is a major cause of morbidity and mortality after pancreaticoduodenectomy. The aim of this study is to compare the safety and efficacy of a newly developed technique, namely mesh-reinforced pancreaticojejunostomy, in comparison with the conventional use of pancreaticojejunostomy after undergoing a pancreaticoduodenectomy. METHODS Data was collected from regarding...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2002

ISSN: 0004-0010

DOI: 10.1001/archsurg.137.11.1258