title: A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy.
abstract: Pancreaticoduodenectomy (Whipple's procedure) remains the only definitive treatment option for tumors of the periampullary region. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. When these complications occur, treatment strategy depends on the severity of anastomotic leakage, with patients with severe leakages requiring reoperation. The optimal surgical method used for reoperation is selected from among different options such as wide drainage, definitive demolition of the pancreaticojejunal anastomosis and performing a new one, or completion pancreatectomy. Here we present a novel, simple technique to manage severe pancreatic leakage via ligamentum teres hepatis patch.
authors.affiliation: HPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, Turkey.
authors.forename: Tufan
authors.identifier: 0000-0003-1834-8630
authors.initials: T
authors.lastname: Egeli
authors.affiliation: HPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, Turkey.
authors.forename: Tarkan
authors.initials: T
authors.lastname: Unek
authors.affiliation: HPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, Turkey.
authors.forename: Mucahit
authors.initials: M
authors.lastname: Ozbilgin
authors.affiliation: HPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Goztok
authors.affiliation: HPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Astarcıoglu