Laparoscopic intussuscepting pancreaticojejunostomy.
Perhaps the greatest barrier to adoption of laparoscopic pancreaticoduodenectomy by experienced pancreatic surgeons is the technical challenge of constructing the pancreaticojejunostomy (PJ). The authors present a less demanding PJ technique they have developed that creates an end-to-end intussuscepting anastomosis using a running monofilament suture. This method reduces technical complexity and operative time while producing acceptably comparable outcomes.
Department of Surgery, University of Florida College of Medicine, Gainesville, PO Box 100109, FL, 32610-0109, USA, Steven.hughes@surgery.ufl.edu.
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Hughes
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Neichoy
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Behrns
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010185:Pancreatic Fistula / Q000209:etiology*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000009:adverse effects / Q000379:methods*; D055815:Young Adult