title: [Pancreatic anastomosis -- a video comparison of different techniques].
abstract: BACKGROUND
  The pancreatic anastomosis seems to be the most difficult and dangerous anastomosis in general surgery, especially in a soft pancreas. Many techniques have been described. The techniques most often used are: anastomosis of the pancreas to the jejunum as a pancreatico-jejunostomy (duct-to-mucosa anastomosis) or as a pancreato-jejunostomy (invaginating anastomosis). Another widely used anastomosis for reconstruction after pancreatic head resection is from the stomach to the pancreas, i.e., pancreato-gastrostomy. In literature the data concerning postoperative complications (pancreatic fistula, postoperative bleeding and others) are not consistent.
  
  
  METHODS
  Reconstruction after pancreatic head resection.
  
  
  METHODS
  Anastomosis between small intestine or stomach and the pancreas.
  
  
  CONCLUSIONS
  There is no gold standard for pancreatic anastomosis. Thus, of the different commonly used techniques, in our opinion, the best technique for each surgeon seems to be the one that he/she is most familiar with.
authors: Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Dresden, Deutschland. robert.gruetzmann@uniklinikum-dresden.de
authors: R
authors: R
authors: Grützmann
authors: M
authors: M
authors: Distler
authors: T
authors: T
authors: Keck
authors: M
authors: M
authors: Niedergethmann
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D057868:Anastomotic Leak / Q000209:etiology / Q000517:prevention & control; D018589:Gastroparesis / Q000209:etiology / Q000517:prevention & control; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D010179:Pancreas / Q000601:surgery*; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control; D010193:Pancreaticojejunostomy / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control