Management of the pancreatic remnant following pancreaticojejunostomy remains a technical challenge particularly when the pancreas is soft. A simple technique that consolidates the pancreas in preparation for pancreaticojejunostomy is described. Application of this technique in patients for whom a difficult anastomosis was anticipated has yielded good results.

Introduction: Leakage of Hepaticojejunostomy are less frequent than pancreatic leaks after pancreatoduodenectomy, and the current literature suggests comparable outcomes. The main purpose our study was to establish hepaticojejunostomy leak adversely affected patient Methods: Consecutive cases pancreatoduodenectomy (n = 1010) were reviewed at a single high-volume institution in period 2009-2018....

The history of pancreaticojejunostomy in pancreaticoduodenectomy is described. Many types of operations have been devised in search of a more reliable method of anastomosis. To perform a safe and reliable pancreaticoenteric anastomosis it is necessary to understand the organ characteristics of the pancreas. We investigated factors required for a reliable pancreaticojejunostomy and devised a new...

The failure of the pancreaticojejunal anastomosis remains an important and potentially lethal postoperative complication after pancreaticoduodenectomy. During the pancreaticojejunostomy, creation of compressive and shear forces during suture placement and knot tying may cause deformation of and cutting through the fragile pancreatic parenchyma. We sought to understand the mechanics of needle-pa...

Yeo, C.J., Cameron, J.L., Maher, M.M., Sauter, P.K., Zahurak, M.L., Talamini, M.A., Lillernoe, K.D. and Pitt, H.A. (1995) A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostorny after pancreaticoduodenectomy. Annals of Surgery; 222: 580-592. Objective: The authors hypothesized that pancreaticogastrostomy is safer than pancreaticojejunostomy after pancreaticoduode...