TY - JOUR
T1 - A modified technique of pancreaticojejunostomy after pancreatoduodenectomy
T2 - A preliminary experience
AU - Testini, Mario
AU - Piccinni, Giuseppe
AU - Greco, Luigi
AU - Lissidini, Germana
AU - Gurrado, Angela
AU - Memeo, Riccardo
AU - Franco, Ilaria Fabiola
AU - Memeo, Vincenzo
PY - 2011
Y1 - 2011
N2 - Pancreatoduodenectomy currently represents the treatment of choice for resectable pancreatic and periampullary malignant tumours, symptomatic chronic pancreatitis, duodenal cystic dystrophy, large adenomas, diverticula and benign periampullary tumours. Pancreatojejunostomy failure remains the main complication following pancreatoduodenectomy, even leading to death. To improve the safety of this anastomosis, a modified technique of pancreato-jejunal anastomosis with posterior double-layer suture and Wirsung duct evagination is proposed. We report our experience in eight consecutive patients (4 females, 4 males; average age 66, range 57-74) undergoing Traverso-Longmire pylorus-preserving pancreatoduodenectomy using Wirsung duct evagination and posterior double-layer suture technique. There was no mortality; the post-operative recovery was uneventful with no pancreatic anastomotic leakage. The mean postoperative stay was 15 days (range 12-19). This proposed procedure could be considered an additional opportunity in the performance of a pancreato-enteric anastomosis, yielding good results and preserving from post-operative pancreatic ductal obstruction.
AB - Pancreatoduodenectomy currently represents the treatment of choice for resectable pancreatic and periampullary malignant tumours, symptomatic chronic pancreatitis, duodenal cystic dystrophy, large adenomas, diverticula and benign periampullary tumours. Pancreatojejunostomy failure remains the main complication following pancreatoduodenectomy, even leading to death. To improve the safety of this anastomosis, a modified technique of pancreato-jejunal anastomosis with posterior double-layer suture and Wirsung duct evagination is proposed. We report our experience in eight consecutive patients (4 females, 4 males; average age 66, range 57-74) undergoing Traverso-Longmire pylorus-preserving pancreatoduodenectomy using Wirsung duct evagination and posterior double-layer suture technique. There was no mortality; the post-operative recovery was uneventful with no pancreatic anastomotic leakage. The mean postoperative stay was 15 days (range 12-19). This proposed procedure could be considered an additional opportunity in the performance of a pancreato-enteric anastomosis, yielding good results and preserving from post-operative pancreatic ductal obstruction.
KW - Pancreatic remnant
KW - Pancreatic stump
KW - Pancreatic surgery
KW - Pancreatoduodenectomy
KW - Panreatico-jejunal anastomosis
UR - http://www.scopus.com/inward/record.url?scp=84859419015&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859419015&partnerID=8YFLogxK
U2 - 10.1007/s13304-011-0120-5
DO - 10.1007/s13304-011-0120-5
M3 - Article
C2 - 22042740
AN - SCOPUS:84859419015
VL - 63
SP - 287
EP - 291
JO - Updates in Surgery
JF - Updates in Surgery
SN - 2038-131X
IS - 4
ER -