Pancreaticojejunostomy—a review of modern techniques
2020年1月23日 · Standard surgical technique. Anastomosis of the pancreatic stump is classically performed by invagination of 1–2 cm of the proximal end of the stump into the jejunum, end-to-end or end-to-side. This technique is recommended for patients with a narrow pancreatic duct (< 3 mm) and soft pancreatic tissue .
Chen’s penetrating-suture technique for pancreaticojejunostomy ...
2023年5月29日 · We presents a new approach called Chen’s penetrating-suture technique for pancreaticojejunostomy (PPJ), which involves end-to-side pancreaticojejunostomy by suture penetrating the full-thickness of the pancreas and jejunum, and evaluates its safety and efficacy.
Pancreaticojejunostomy - an overview | ScienceDirect Topics
Pancreaticojejunostomy. The jejunal limb is brought up to the RUQ through the root of the mesentery as a neoduodenum and laid comfortably with the antimesenteric border facing the transected pancreatic neck stump. The pancreaticojejunostomy is performed using a modified Blumgart technique (Fig. 2 D). Three horizontal mattress 3-0 silk sutures ...
Anastomosis technique for pancreatojejunostomy and early …
2020年11月12日 · POPF occurs when there is a pancreatic juice leakage from a surgically exfoliated surface and/or anastomosis. Many previous studies have described several risk factors for POPF, such as gender (male) [8], a high body mass index (BMI) [9], the anastomotic method [6, 10], and the use of an external stent [11].
An improved invagination pancreaticojejunostomy technique …
2024年11月5日 · Through surgical advancements, our center developed an improved PJ technique that combines duct-to-mucosa and invagination anastomosis. This retrospective study compared the incidence of POPF between standard invagination PJ and the improved technique in patients who underwent pancreaticoduodenectomy. 2. Material and …
Application of an innovative pancreaticojejunostomy technique …
2023年10月10日 · How to reduce grade C postoperative pancreatic fistula (POPF) incidence after pancreaticoduodenectomy (PD) is the pursuit of pancreatic surgeons. This study introduced an innovative pancreaticojejunostomy (PJ) technique with a …
Open Longitudinal Pancreaticojejunostomy | SpringerLink
2020年4月2日 · This chapter discusses technical aspects of open longitudinal pancreaticojejunostomy, including instrumentation and equipment, patient positioning, and surgical steps. The authors also offer pearls and pitfalls. Patient positioning and operating room setup are described in Fig. 48.1.
Surgical revision for pancreatojejunostomy stricture: a case series …
2022年8月19日 · Pancreatojejunostomy stricture (PJS) is a rare long-term complication of pancreaticojejunal anastomosis. This study aimed to investigate the role of surgery in the management of pancreatojejunostomy strictures.
2024年1月7日 · Pancreaticojejunostomy, a critical step in pancreatic surgery, has significantly evolved surgical approaches, including open, laparoscopic, and robotic techniques. This comprehensive review explores open surgery's historical success, advantages, and disadvantages, emphasizing surgeons' accrued experience and familiarity with this approach.
Laparoscopic lateral pancreaticojejunostomy in the current era: A ...
2024年11月29日 · The patients in the analysis had a mean age of 36.5 and a male to female ratio of 1.4:1. The mean main pancreatic duct diameter was 11.5 mm. Tropical pancreatitis was identified as the primary cause. The surgical procedure was performed using 4 ports with minimal bleeding and a 13% morbidity rate. The conversion rate was 15%.
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