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Pancreaticogastrostomy: a pancreas‐transfixing method with duct‐to‐mucosa anastomosis (with video)
Author(s) -
Takao Sonshin,
Shinchi Hiroyuki
Publication year - 2012
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1007/s00534-011-0469-3
Subject(s) - pancreaticoduodenectomy , anastomosis , pancreatic fistula , medicine , pancreas , pancreatic duct , surgery , fistula , duct (anatomy)
Pancreatic fistula still remains a persistent problem after pancreaticoduodenectomy. We have devised a pancreas‐transfixing suture method of pancreaticogastrostomy with duct‐to‐mucosa anastomosis. This technique is simple and reduces the risk of pancreatic leakage by decreasing the risk of suture injury of the pancreas and by embedding the transected stump into the wall of the stomach. This novel technique of pancreaticogastrostomy is an effective reconstructive procedure following pancreaticoduodenectomy, especially for patients with a soft and fragile pancreas.