Safer intestinal invagination for a solid pancreatico-jejunal anastomosis in presence of a soft texture pancreatic remnant and non-dilated duct.
Hepatobiliary Pancreat Dis Int
; 15(3): 324-8, 2016 Jun.
Article
em En
| MEDLINE
| ID: mdl-27298111
ABSTRACT
Pancreatico-jejunal anastomosis after pancreatoduodenectomy still represents the Achilles' heel of the procedure the failure of this anastomosis is relatively common and it is the main cause of post-operative morbidity and mortality. Studies have described different reconstruction strategies for the control of the development of post-operative pancreatic fistula, but the strategy to obtain a safer pancreatico-jejunal anastomosis is still far from satisfaction. We report a novel variation of the invagination technique based on preliminary clinical experience in 8 patients who underwent pancreatico-jejunal anastomosis after pancreatoduodenectomy in our hepatobiliopancreatic center from 2008 to 2014. The variation could obtain a safer intestinal invagination for a solid pancreatico-jejunal anastomosis even in the presence of soft pancreatic remnant.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Pancreáticas
/
Pancreaticojejunostomia
/
Neoplasias Colorretais
/
Adenocarcinoma
/
Pancreaticoduodenectomia
/
Neoplasias do Ducto Colédoco
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article