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Pancreaticogastrostomy: a pancreas-transfixing method with duct-to-mucosa anastomosis (with video)

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 in...

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Detalles Bibliográficos
Autores principales: Takao, Sonshin, Shinchi, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3261387/
https://www.ncbi.nlm.nih.gov/pubmed/22116204
http://dx.doi.org/10.1007/s00534-011-0469-3
Descripción
Sumario: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 novel technique of pancreaticogastrostomy is an effective reconstructive procedure following pancreaticoduodenectomy, especially for patients with a soft and fragile pancreas. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00534-011-0469-3) contains supplementary material, which is available to authorized users.