Whipple's pancreaticoduodenectomy has been refined over the years to be a safe operation though the morbidity rate still remains high (30-50%). Pancreatic fistula is the most important cause of mortality following pancreaticoduodenectomy. To prevent it, surgeons have used two anastomotic techniques: pancreaticojejunostomy and pancreaticogastrostomy. Recent studies found that pancreaticogastrost...

The purpose of this analysis was to evaluate the technological viability, basic safety and consequence of central pancreatectomy (CP) with pancreaticogastrostomy in properly chosen sufferers with noncancerous central pancreatic pathology. This research is centered on the infirmary charts of West China hospital. We recruited 20 individuals from 2007 to 2009 diagnosed with benign cancerous growth...

Pancreatic fistula still remains a persistent problem after pancreaticoduodenectomy. We have devised a pancreas-transfixing suture method of pancreaticogastrostomy with duct-to-mucosa anastomosis. This technique is simple and reduces the risk of pancreatic leakage by decreasing the risk of suture injury of the pancreas and by embedding the transected stump into the wall of the stomach. This nov...

HYPOTHESIS Pancreaticogastrostomy is a safe operation for a variety of periampullary conditions. DESIGN Retrospective review of a prospectively collected database. SETTING An academic tertiary care university hospital and a Veterans Affairs hospital. PATIENTS A total of 235 consecutive patients who underwent pancreaticogastrostomy. MAIN OUTCOME MEASURES Indications for surgery, preopera...

Yeo, C.J., Cameron, J.L., Maher, M.M., Sauter, P.K., Zahurak, M.L., Talamini, M.A., Lillernoe, K.D. and Pitt, H.A. (1995) A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostorny after pancreaticoduodenectomy. Annals of Surgery; 222: 580-592. Objective: The authors hypothesized that pancreaticogastrostomy is safer than pancreaticojejunostomy after pancreaticoduode...

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...

BACKGROUND The feasibility of binding pancreaticogastrostomy in laparoscopic central pancreatectomy is not known. METHODS In October 2011, a female patient with a pancreatic neck mass received laparoscopic central pancreatectomy with binding pancreaticogastrostomy. RESULTS The operation was successful. No complications occurred. The operative time was 210 min. Blood loss was 120 ml. On day ...

Delcore, R., Thomas, J.H., Pierce, G.E. and Hermreck, A.S. (1990) Pancreatogastrostomy: A safe drainage procedure after pancreatoduodenectomy. Surgery; 108:641-647 The purpose of this study was to evaluate the role of pancreaticogastrostomy as an alternative method of restoring pancreaticointestinal continuity after pancreaticoduodenectomy. Since 1975, 45 patients have undergone pancreaticogast...

BACKGROUND/OBJECTIVES Postoperative pancreatic fistula (POPF) remains the main problem after pancreaticoduodenectomy and determines to a large extent the final outcome. We describe a new modification of pancreaticogastrostomy which combines duct to mucosa anastomosis with suturing the pancreatic capsule to posterior gastric wall and then invaginating the pancreatic remnant into the posterior ga...