Open AccessThe Path to Whipple Reconstruction for Pancreatic Adenocarcinoma: Trans-Mesocolon or Through Ligament of Treitz?
Author(s) -
Adriana C. Gamboa,
Mohammad Y. Zaidi,
Rachel Lee,
Juan M. Sarmiento,
David A. Kooby,
Maria C. Russell,
Kenneth Cardona,
Shishir K. Maithel
Publication year - 2020
Publication title -
journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.168
H-Index - 126
eISSN - 1873-4626
pISSN - 1091-255X
DOI - 10.1007/s11605-019-04377-9
Subject(s) - medicine , surgery , ligament , stage (stratigraphy) , adenocarcinoma , incidence (geometry) , cancer , paleontology , physics , optics , biology
The path of the biliopancreatic limb for reconstruction of the pancreatic anastomosis during pancreatoduodenectomy for pancreatic ductal adenocarcinoma can be trans-mesocolon or through the ligament of Treitz. Even after curative intent pancreatoduodenectomy, incidence of recurrence in the surgical bed remains high and may lead to obstruction of the biliopancreatic limb. However, the association between path of jejunal limb and incidence of biliopancreatic limb obstruction has not been studied. Primary aim was to determine whether path of reconstruction predisposes to biliopancreatic limb obstruction in the setting of local recurrence.