Title

Pancreato-Enteric Anastomosis: The Duct Evagination Technique.

Sanford School of Medicine Affiliation

Transplantation and Surgery

Document Type

Article

Disciplines

Medicine and Health Sciences | Surgery

Publication Date

9-1-2009

Keywords

Anastomosis, Surgical, Humans, Pancreatic Ducts, Pancreaticoduodenectomy, Suture Techniques

Abstract

Pancreatic anastomotic failure remains the most frequent and potentially life-threatening complication following Pancreatoduodenectomy. Numerous modifications in the technique of the pancreatoenteric anastomosis have been reported. We suggest a simple modification which involves "evaginating" the cut end of the pancreatic duct. This technique helps avoid a compromise of the pancreatic ductal patency, and by achieving a wide pancreatic ductal opening can facilitate a safer pancreato-enteric anastomosis. In addition, by possibly decreasing the likelihood of post-operative pancreatic ductal stenosis, it has the potential to reduce post-Pancreatoduodenectomy pancreatic exocrine insufficiency. The modification acts as an adjunct to an already established technique yielding good results.

Journal Title

Journal of Surgical Oncology

Volume

100

Issue

3

First Page

277

Last Page

278

PubMed ID

19544497

ISSN

1096-9098

MeSH Headings (Medical Subject Headings)

Anastomosis, Surgical; Humans; Pancreatic Ducts; Pancreaticoduodenectomy; Suture Techniques

Rights

Copyright © 2009 Wiley‐Liss, Inc.

DOI

10.1002/jso.2133

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