title: Improved technique for pancreaticogastrostomy with implantation method after pancreaticoduodenectomy.
abstract: We performed improved pancreaticogastrostomy after pancreaticoduodenectomy in 60 consecutive patients between August, 1993 and July, 1997. Our improved pancreaticogastrostomy was made by implantation method with pancreatic duct stent. Two-layer fusion of anastomosis between full thickness or mucosa/submucosa of gastric wall and pancreatic parenchyma was completed via gastric lumen with gastrotomy in the anterior gastric wall. The morbidity and mortality rates were 3% and 0%, respectively. There was absolutely no pancreatic leakage, and no postoperative complications directly related to the pancreaticogastrostomy. The biggest advantage of this procedure was to be able to anastomose in a good field of vision via gastric lumen with gastrotomy in the anterior gastric wall. This improved pancreaticogastrostomy seemed to be technically very easy and a safe method.
authors.affiliation: Third Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Takano
authors.forename: S
authors.initials: S
authors.lastname: Iwai
authors.forename: T
authors.initials: T
authors.lastname: Tanaka
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications; D015607:Stents; D013270:Stomach / Q000601:surgery*