PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE
Journal Title: International Journal of Surgery and Medicine - Year 2015, Vol 1, Issue 1
Abstract
Objective One of the most feared complications after pancreaticoduodenectomy (PD) remains postoperative pancreatic fistula (POPF). In the current study, we demonstrate a new technique for pancreaticogastrostomy (PG), using one continuous seromuscular circular suture without trans pancreas sutures for PG. Material and Methods During the period December 2012 to December 2014, 32 consecutive patients underwent PD (either pylorus-preserving or classical Whipple’s) carried out using the above suture-less PG. Indication for PD was pancreatic duct carcinoma. Procedures were carried out by the same surgeon, same approach and anastomotic method in order to avoid technical changes. Results Postoperative mortality was zero and morbidity was 21.8% (n=7). Pancreatic leakage (Grade A/B) occurred in 2 (6.2%) patients. These pancreatic leaks were managed nonoperative by maintaining the closed drains. The most common postoperative complication delayed gastric emptying (Grade B/C) in 3 (9.3%) patients. Conclusion We conclude that the suture-less PG possesses several advantages over conventional PG and pancreaticojejunostomy (PJ). This technic seems to lessen the risk of a pancreatic leak, probably by diminishing the possibility of suture damage to the pancreas and by embedding the transected stump into the posterior gastric wall. This novel PG is a valid and valuable procedure, especially for soft, nonfibrotic pancreas.
Authors and Affiliations
Daniel Kostov Kostov, Georgi Kobakov, Daniel Yankov
Keywords
Related Articles
- EP ID EP216448
- DOI 10.5455/ijsm.20150411090731
- Views 110
- Downloads 0
TREATMENT OF IDIOPATHIC CHRONIC ORCHIALGIA WITH TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS): A PRELIMINARY RESULT
Purpose: Unilateral or bilateral testicular pain lasting more than three months is called as chronic orchialgia. Approximately 25-50% of chronic orchialgia is the idiopathic origin. This study aimed the effectiveness of...
PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE
Objective One of the most feared complications after pancreaticoduodenectomy (PD) remains postoperative pancreatic fistula (POPF). In the current study, we demonstrate a new technique for pancreaticogastrostomy (PG), usi...
MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE
An unusual complication of gallbladder empyema is its rupture into the liver forming giant multiloculated pyogenic abscesses. This condition is rapidly fatal in diabetic and immunocompromised patients. We present a 79-y...
KNOWLEDGE, BEHAVIOUR AND ATTITUDES REGARDING HIV/AIDS AMONG UNDERGRADUATE STUDENTS IN AN IRISH UNIVERSITY
A descriptive cross sectional study was conducted in an Irish University among undergraduate students in 2012. A web questionnaire consisted of items related to HIV/AIDS knowledge, behaviour and attitudes was sent to all...
CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA
We report a case of cerebral phaeohyphomycosis caused by a dematiaceous fungus, Fonsecaea monophora, in a patient with type 2 diabetes mellitus and decompensated chronic liver disease. CT brain revealed a 2x2cm hypodense...