AI Article Synopsis
- Pancreatico-jejunal anastomosis is a critical and challenging part of pancreatoduodenectomy, often leading to complications and high rates of post-operative issues.
- Various reconstruction techniques have been explored to reduce the risk of pancreatic leaks, but effective and reliable methods remain elusive.
- This study introduces a new variant of the invagination technique, based on experiences from eight patients, which demonstrates improved safety for creating a strong pancreatico-jejunal connection, even with a weak pancreatic remnant.
Article Abstract
Pancreatico-jejunal anastomosis after pancreatoduodenectomy still represents the Achilles' heel of the procedure: the failure of this anastomosis is relatively common and it is the main cause of post-operative morbidity and mortality. Studies have described different reconstruction strategies for the control of the development of post-operative pancreatic fistula, but the strategy to obtain a safer pancreatico-jejunal anastomosis is still far from satisfaction. We report a novel variation of the invagination technique based on preliminary clinical experience in 8 patients who underwent pancreatico-jejunal anastomosis after pancreatoduodenectomy in our hepatobiliopancreatic center from 2008 to 2014. The variation could obtain a safer intestinal invagination for a solid pancreatico-jejunal anastomosis even in the presence of soft pancreatic remnant.
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| http://dx.doi.org/10.1016/s1499-3872(15)60027-3 | DOI Listing |
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