Abstract
Pancreatoduodenectomy currently represents the treatment of choice for resectable pancreatic and periampullary malignant tumours, symptomatic chronic pancreatitis, duodenal cystic dystrophy, large adenomas, diverticula and benign periampullary tumours. Pancreato-jejunostomy failure remains the main complication following pancreatoduodenectomy, even leading to death. To improve the safety of this anastomosis, a modified technique of pancreato-jejunal anastomosis with posterior double-layer suture and Wirsung duct evagination is proposed. We report our experience in eight consecutive patients (4 females, 4 males; average age 66, range 57–74) undergoing Traverso-Longmire pylorus-preserving pancreatoduodenectomy using Wirsung duct evagination and posterior double-layer suture technique. There was no mortality; the post-operative recovery was uneventful with no pancreatic anastomotic leakage. The mean post-operative stay was 15 days (range 12–19). This proposed procedure could be considered an additional opportunity in the performance of a pancreato-enteric anastomosis, yielding good results and preserving from post-operative pancreatic ductal obstruction.
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Mario Testini, Giuseppe Piccinni, Luigi Greco, Germana Lissidini, Angela Gurrado, Riccardo Memeo, Ilaria Fabiola Franco, Vincenzo Memeo have no conflict of interest.
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Testini, M., Piccinni, G., Greco, L. et al. A modified technique of pancreaticojejunostomy after pancreatoduodenectomy: a preliminary experience. Updates Surg 63, 287–291 (2011). https://doi.org/10.1007/s13304-011-0120-5
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DOI: https://doi.org/10.1007/s13304-011-0120-5