Introduction. The best pancreatic anastomosis technique after pancreaticoduodenectomy (PD) is still debated. Pancreatic fistula (PF) is the most important complication but is also related to postoperative bleedings and pancreatic remnant involution. We support pancreaticojejuno anastomosis (PJ) advantages describing our technique with brief technical considerations. Materials and Methods. 89 consecutive patients underwent PD with suprapyloric gastric resection and double loop reconstruction. Pancreaticojejunal end-to-end anastomosis was done by simple invagination with a single layer of interrupted pledget-supported Ticron stitches. Results. Pancreatic fistula occurred in seven patients (7.8%): six cases of grade A fistula resolved spontaneously, and in only one case of grade B fistula percutaneous drainage was necessary. Postoperative hemorrhage occurred in only two (2.2%) of 89 patients. Conclusion. Pancreaticojejunostomy with minor changes in anastomotic techniques can contribute to improvement of the outcome of Roux-en-Y reconstruction regarding PF and other related complications. The particular reconstruction reported seems also to preserve the pancreatic exocrine function. © 2012 Roberto Caronna et al.

Pancreaticojejuno anastomosis after pancreaticoduodenectomy: Brief pathophysiological considerations for a rational surgical choice / Caronna, Roberto; Peparini, Nadia; G. C., Russillo; A. A., Romano; Giuseppe, Dinatale; Chirletti, Piero. - In: INTERNATIONAL JOURNAL OF SURGICAL ONCOLOGY. - ISSN 2090-1402. - ELETTRONICO. - 2012:(2012), pp. 1-4. [10.1155/2012/636824]

Pancreaticojejuno anastomosis after pancreaticoduodenectomy: Brief pathophysiological considerations for a rational surgical choice

CARONNA, Roberto;PEPARINI, Nadia;CHIRLETTI, Piero
2012

Abstract

Introduction. The best pancreatic anastomosis technique after pancreaticoduodenectomy (PD) is still debated. Pancreatic fistula (PF) is the most important complication but is also related to postoperative bleedings and pancreatic remnant involution. We support pancreaticojejuno anastomosis (PJ) advantages describing our technique with brief technical considerations. Materials and Methods. 89 consecutive patients underwent PD with suprapyloric gastric resection and double loop reconstruction. Pancreaticojejunal end-to-end anastomosis was done by simple invagination with a single layer of interrupted pledget-supported Ticron stitches. Results. Pancreatic fistula occurred in seven patients (7.8%): six cases of grade A fistula resolved spontaneously, and in only one case of grade B fistula percutaneous drainage was necessary. Postoperative hemorrhage occurred in only two (2.2%) of 89 patients. Conclusion. Pancreaticojejunostomy with minor changes in anastomotic techniques can contribute to improvement of the outcome of Roux-en-Y reconstruction regarding PF and other related complications. The particular reconstruction reported seems also to preserve the pancreatic exocrine function. © 2012 Roberto Caronna et al.
2012
01 Pubblicazione su rivista::01a Articolo in rivista
Pancreaticojejuno anastomosis after pancreaticoduodenectomy: Brief pathophysiological considerations for a rational surgical choice / Caronna, Roberto; Peparini, Nadia; G. C., Russillo; A. A., Romano; Giuseppe, Dinatale; Chirletti, Piero. - In: INTERNATIONAL JOURNAL OF SURGICAL ONCOLOGY. - ISSN 2090-1402. - ELETTRONICO. - 2012:(2012), pp. 1-4. [10.1155/2012/636824]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/444416
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