[Pancreaticojejunal anastomosis by intussusception of an isolated loop in pancreaticoduodenectomy].
The most frequent and severe complication of pancreaticoduodenectomy is pancreatic fistula due to dehiscence of the pancreas anastomosis. The technique that uses a separate Roux en Y loop for pancreas anastomosis, to reduce the fatal risks of pancreatic fistula, has been described for more than 50 years. With the development of pancreaticogastrostomy, it seems interesting to present a procedure using an isolated loop for the pancreas; this technique, derived from those previously described allows a good intussusception of the pancreatic stump into the intestinal loop. This method was performed in 22 pancreaticoduodenectomies. There were 2 operative deaths unrelated to the pancreaticojejunal anastomosis and one pancreatic fistula, which healed under medical treatment.
Meyer
C
C
Service de Chirurgie Générale et Digestive, Hôpitaux Universitaires de Strasbourg-Hautepierre, Strasbourg.
Rohr
S
S
Thiry
C L
CL
de Manzini
N
N
Firtion
O
O
D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D000714:Anastomosis, Surgical; D002277:Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010195:Pancreatitis / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies
L'anastomose pancréatico-jéjunale par invagination sur anse isolée dans la duodénopancréatectomie céphalique.