Fish-Mouth Closure of the Pancreatic Stump and Parachuting of the Pancreatic End with Double U Trans-Pancreatic Sutures for Pancreatico-Jejunostomy
Yonsei Medical Journal
; : 872-878, 2018.
Article
ي En
| WPRIM
| ID: wpr-716924
المكتبة المسؤولة:
WPRO
ABSTRACT
PURPOSE:
Leakage of pancreatico-jejunal anastomosis (PJ) remains the primary cause of morbidity and mortality after Whipple's operation. To reduce the occurrence thereof, the present author recently began to apply a modification of the Blumgart method of anastomosis after Whipple's operation (hereinafter referred to as Lee's method), with very good results. MATERIALS ANDMETHODS:
The modified method and technique utilizes fish-mouth closure of a beveled pancreatic stump and parachuting of the pancreatic end with double U trans-pancreatic sutures (symmetric horizontal mattress-type sutures between the full thickness of the pancreas and the jejunal limb) after duct-to-mucosa pancreatico-jejunostomy.RESULTS:
Eleven cases of pylorus preserving Whipple's operation have been performed without a clinically significant postoperative pancreatic fistula.CONCLUSION:
This new method (Lee's method) may dramatically reduce the occurrence of postoperative pancreatic fistula after Whipple's operation.Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Pancreas
/
Pylorus
/
Aviation
/
Sutures
/
Mortality
/
Pancreatic Fistula
/
Methods
نوع الدراسة:
Prognostic_studies
اللغة:
En
مجلة:
Yonsei Medical Journal
السنة:
2018
نوع:
Article