[Alternative methods of the pancreatico-jejunal anastomosis in resective pancreatic surgery].
Pancreaticojejunostomy is still followed by an unacceptable mortality and it warns the necessity to find and to verify more safe alternative methods in the management of pancreatic stump. In this work we analyze the results concerning 14 cases of pancreatic resections in which a pancreaticojejunostomy was not performed but the stump was closed with a mechanical stapler. Distal pancreatectomy with stapler was characterized by a low morbidity (11%) without mortality; this technique is therefore certainly reliable and it may be preferred for its facility and its rapidity. Pancreaticoduodenectomy with stapler has not appeared sufficiently sure, however, some technical improvements, as additional ligation of the pancreatic duct, the pharmacological inhibition of the exocrine secretion and a more extensive resection, seem to be able to make this technique as much reliable.
Di Blasio
V
V
II Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli.
Arciero
G
G
Botta
V
V
Iannuzzi
C
C
De Blasio
R A
RA
Negro
G
G
D000714:Anastomosis, Surgical; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy / Q000379:methods*; D016577:Pancreaticoduodenectomy; D012189:Retrospective Studies; D013528:Surgical Staplers
Metodiche alternative alle anastomosi pancreatico-digiunali nella chirurgia resettiva pancreatica.