No Mortality or Pancreatic Fistula After Full-Thickness Suture Pancreaticogastrostomy in 39 Patients Who Underwent Pancreaticoduodenectomy

Fatih O., Adil B., Cengiz A., Mustafa A., Sagir K. A., Maras O. Z., ...Daha Fazla

INTERNATIONAL SURGERY, cilt.100, sa.2, ss.275-280, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 100 Sayı: 2
  • Basım Tarihi: 2015
  • Doi Numarası: 10.9738/intsurg-d-14-00095.1
  • Dergi Adı: INTERNATIONAL SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.275-280
  • Anahtar Kelimeler: Pancreaticogastrostomy, Pancreatic fistula, Pancreaticoduodenectomy, Fullthickness sutures, PANCREATICOJEJUNOSTOMY, RECONSTRUCTION, MANAGEMENT
  • İnönü Üniversitesi Adresli: Evet

Özet

Pancreaticoduodenectomy is considered the standard operation for periampullary tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous surgical technique and proper reconstruction of the pancreas are essential to prevent pancreatic fistula. Pancreaticogastrostomy is a safe method for reconstruction of the pancreas after pancreaticoduodenectomy. Regardless of pancreatic texture or duct diameter, the reconstruction is performed by passing full-thickness sutures through both the anterior and posterior sides of the pancreas. In this study, we report 39 cases of reconstruction with pancreaticogastrostomy after pancreaticoduodenectomy without mortality or pancreatic fistula.