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Pancreato‐enteric anastomosis: The duct evagination technique
Author(s) -
Shukla Parul J.,
Sakpal Sujit Vijay,
Barreto Savio G.,
Naraynsingh Vijay
Publication year - 2009
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21335
Subject(s) - medicine , anastomosis , pancreatic duct , stenosis , surgery , complication , pancreas , pancreatic carcinoma , pancreatic cancer , radiology , cancer
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. J. Surg. Oncol. 2009;100:277–278. © 2009 Wiley‐Liss, Inc.