MODIFIED TECHNIQUE FOR PANCREATICOJEJUNOSTOMY FOLLOWING PANCREATICODUODENECTOMY
نویسندگان
چکیده
منابع مشابه
A Simple, Secure and Universal Pancreaticojejunostomy following Pancreaticoduodenectomy
Although the operative mortality of pancreaticoduodenal resection has decreased recently, the operative morbidity resulting from a leaking pancreatic anastomosis remains high. We described our experience in 50 consecutive cases with a simple, secure end to side pancreaticojejunostomy. We used a paediatric nasogastric tube in the pancreatic remnant duct as a temporary external pancreatic drain. ...
متن کاملPancreaticojejunostomy - Risk Anastomosis after Cephalic Pancreaticoduodenectomy.
INTRODUCTION The authors bring to attention pancreaticojejunalanastomosis (PJA) performed after cephalic pancreaticoduodenectomy(CPD). This type of anastomosis is renowned forits high risk of complications. Among these complications, pancreatic fistula (PF) is distinguishable due to a significant frequency, averaging 10%. It is perhaps the most unsafe type of anastomosis in digestive surgery, d...
متن کاملDouble Duct to Mucosa Pancreaticojejunostomy for Bifid Pancreatic Duct following Pylorus Preserving Pancreaticoduodenectomy: A Case Report
Bifid pancreatic duct represents a relatively rare anatomical variation of the pancreatic ductal system, in which the main pancreatic duct is bifurcated along its length. This paper describes the challenging surgical management of a 68-year-old male patient, with presumptive diagnosis of periampullary malignancy who underwent a successful double duct to mucosa pancreaticojejunostomy for bifid p...
متن کاملPortal vein resection: a modified technique for reconstruction after pancreaticoduodenectomy.
Pancreaticoduodenectomy is the only curative treatment for pancreatic head tumors. The possibility to achieve a potentially curative surgical treatment is limited to patients in which a complete tumor resection can be performed with free surgical margins. In a small number of patients with localized pancreatic cancer, negative margins are only accomplished with portal vein resection. Pancreatic...
متن کاملIn search of the best reconstructive technique after pancreaticoduodenectomy: pancreaticojejunostomy versus pancreaticogastrostomy.
BACKGROUND It has been suggested that pancreaticogastrostomy (PG) is a safer reconstruction than pancreaticojejunostomy (PJ), resulting in lower morbidity, including lower pancreatic leak rates and decreased postoperative mortality. We compared PJ and PG after pancreaticoduodenectomy (PD). METHODS A randomized clinical trial was designed. It was stopped with 50% accrual. Patients underwent ei...
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ژورنال
عنوان ژورنال: The KITAKANTO Medical Journal
سال: 1993
ISSN: 0023-1908,1883-6135
DOI: 10.2974/kmj1951.43.63