RT Journal
A1 Bitsakou G, Frampton AE, Pai M, Jiao LR
T1 AN alternative pancreatic anastomosis following pancreaticoduodenectomy
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD June 1
VO 146
IS 6
SP 752
OP 754
DO 10.1001/archsurg.2011.133
UL http://dx.doi.org/10.1001/archsurg.2011.133
AB Pancreatic head resection and reconstruction is technically challenging. Eight patients underwent pancreaticoduodenectomy for either ductal adenocarcinoma (n = 7) or neuroendocrine tumor (n = 1) in the head of the pancreas with a dilated pancreatic duct. The pancreatic stump could not be mobilized to form a standard pancreaticogastrostomy or a pancreaticojejunostomy following resection because of a complete fixation to the splenic vein (n = 2), common hepatic artery (n = 1), or mesentery (n = 3) or inadequate length of the pancreatic remnant (n = 2). After laying open the pancreatic duct along the pancreatic transection margin in the ventral aspect of the pancreas, a longitudinal ventral pancreaticojejunostomy was performed using polydioxanone 3/0 sutures. The average time taken to create this pancreatic anastomosis was less than 10 minutes. This longitudinal ventral pancreatic anastomosis is quick, easy to perform, and a safe alternative method for pancreatic reconstruction after pancreaticoduodenectomy.