Pancreato-Enteric Anastomosis: The Duct Evagination Technique.
Sanford School of Medicine Affiliation
Transplantation and Surgery
Medicine and Health Sciences | Surgery
Anastomosis, Surgical, Humans, Pancreatic Ducts, Pancreaticoduodenectomy, Suture Techniques
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 of Surgical Oncology
MeSH Headings (Medical Subject Headings)
Anastomosis, Surgical; Humans; Pancreatic Ducts; Pancreaticoduodenectomy; Suture Techniques
Copyright © 2009 Wiley‐Liss, Inc.
Shukla, Parul; Sakpal, Sujit Vijay; Barreto, Savio; and Naraynsingh, Vijay, "Pancreato-Enteric Anastomosis: The Duct Evagination Technique." (2009). Department of Surgery. 28.