title: No mortality or pancreatic fistula after full-thickness suture pancreaticogastrostomy in 39 patients who underwent pancreaticoduodenectomy.
abstract: Pancreaticoduodenectomy is considered the standard operation for periampullary tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous surgical technique and proper reconstruction of the pancreas are essential to prevent pancreatic fistula. Pancreaticogastrostomy is a safe method for reconstruction of the pancreas after pancreaticoduodenectomy. Regardless of pancreatic texture or duct diameter, the reconstruction is performed by passing full-thickness sutures through both the anterior and posterior sides of the pancreas. In this study, we report 39 cases of reconstruction with pancreaticogastrostomy after pancreaticoduodenectomy without mortality or pancreatic fistula.
authors.affiliation: 1 Inonu University School of Medicine, Turgut Ozal Medical Center, Department of Surgery, Malatya, Turkey.
authors.forename: Ozdemir
authors.initials: O
authors.lastname: Fatih
authors.forename: Baskiran
authors.initials: B
authors.lastname: Adil
authors.forename: Ara
authors.initials: A
authors.lastname: Cengiz
authors.forename: Ates
authors.initials: A
authors.lastname: Mustafa
authors.forename: Kahraman Ayşegul
authors.initials: KA
authors.lastname: Sagir
authors.forename: Ozdemir Zeynep
authors.initials: OZ
authors.lastname: Maras
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Sezai
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D010185:Pancreatic Fistula / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D013536:Suture Techniques
keywords: Full-thickness sutures; Pancreatic fistula; Pancreaticoduodenectomy; Pancreaticogastrostomy