KMID : 0371320110810050332
|
|
Journal of the Korean Surgical Society 2011 Volume.81 No. 5 p.332 ~ p.338
|
|
An easy and secure pancreaticogastrostomy after pancreaticoduodenectomy: transpancreatic suture with a buttress method through an anterior gastrotomy
|
|
Hong Tae-Ho
Youn Young-Chul You Young-Kyoung Kim Dong-Goo
|
|
Abstract
|
|
|
Purpose: The aim of this report was to describe a new reconstructive technique of pancreaticogastrostomy and to also discuss this procedure¡¯s effectiveness for reducing the incidence of postoperative complications.
Methods: We retrospectively analyzed early surgical outcomes in 21 consecutive patients who underwent this novel pancreaticogastrostomy after pancreaticoduodenectomy. Pancreaticogastrostomy was completed with 2 transpancreatic sutures with buttresses on both the upper and lower edges of the implanted pancreas through the retracted anterior gastrotomy.
Results: Operative mortality was zero and morbidity was 23.8%. A significant pancreatic fistula occurred in 1 patient (4.7%; grade B).
Conclusion: This technique is very easy to perform, less traumatic to the pancreatic stump, can be performed through a mini-laparotomy due to good vision and straight sutures, and it is secure owing to anchoring of the invaginated pancreatic stump to the stomach¡¯s posterior wall with buttresses. The results of this pilot study indicate that the technique may provide a favorable outcome and could be an alternative method of pancreatoenteric anastomosis. However, to determine its superiority over the conventional procedures, this operative technique should be evaluated more comprehensively in a larger series.
|
|
KEYWORD
|
|
Pancreatic fistula, Pancreatoenteric anastomosis, Anterior gastrotomy
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|