title: Pancreaticogastrostomy: a pancreas-transfixing method with duct-to-mucosa anastomosis (with video).
abstract: Pancreatic fistula still remains a persistent problem after pancreaticoduodenectomy. We have devised a pancreas-transfixing suture method of pancreaticogastrostomy with duct-to-mucosa anastomosis. This technique is simple and reduces the risk of pancreatic leakage by decreasing the risk of suture injury of the pancreas and by embedding the transected stump into the wall of the stomach. This novel technique of pancreaticogastrostomy is an effective reconstructive procedure following pancreaticoduodenectomy, especially for patients with a soft and fragile pancreas.
authors: Frontier Science Research Center, Kagoshima University, Kagoshima, Japan. sonshin@m2.kufm.kagoshima-u.ac.jp
authors: Sonshin
authors: S
authors: Takao
authors: Hiroyuki
authors: H
authors: Shinchi
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D005753:Gastric Mucosa / Q000601:surgery; D006801:Humans; D008297:Male; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy; D010182:Pancreatic Diseases / Q000601:surgery; D010183:Pancreatic Ducts / Q000601:surgery; D010185:Pancreatic Fistula / Q000517:prevention & control*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome