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Published in: Journal of Gastrointestinal Surgery 9/2011

01-09-2011 | How I do it

A Penrose Drain to Help Reflect the Resected “Specimen Side” Jejunum Beneath the Mesenteric Vessels During a Pancreaticoduodenectomy

Authors: Quyen D. Chu, Amanda Henderson, Hosein M. Shokouh-Amiri, Gazi Zibari

Published in: Journal of Gastrointestinal Surgery | Issue 9/2011

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Abstract

Introduction

Reflecting the resected portion of the proximal jejunum behind the mesenteric vessels during a pancreaticoduodenectomy (Whipple) procedure can be a challenging maneuver.

Methods

We describe a simple technique employing a penrose drain that is sutured to the resected “specimen” portion of the jejunum and then pulling it behind the mesenteric vessels.

Results

Seven patients underwent this procedure over a 2-month period without difficulties.

Conclusions

This simple technique helps simplify one of the key maneuvers in performing a Whipple procedure.
Literature
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go back to reference Kausch W. Das carcinoma der papilla duodeni und seine radikale entfeinung beitage. Z. Klin Chir 1912;78:439. Kausch W. Das carcinoma der papilla duodeni und seine radikale entfeinung beitage. Z. Klin Chir 1912;78:439.
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go back to reference Peters JH, Carey LC. Historical review of pancreaticoduodenectomy. Am J Surgery 1991;161:219–25.CrossRef Peters JH, Carey LC. Historical review of pancreaticoduodenectomy. Am J Surgery 1991;161:219–25.CrossRef
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go back to reference Bassin A, O’Leary JP. The first report of a successful pancreaticoduodenectomy. American Surgeon 1995;61:845.PubMed Bassin A, O’Leary JP. The first report of a successful pancreaticoduodenectomy. American Surgeon 1995;61:845.PubMed
Metadata
Title
A Penrose Drain to Help Reflect the Resected “Specimen Side” Jejunum Beneath the Mesenteric Vessels During a Pancreaticoduodenectomy
Authors
Quyen D. Chu
Amanda Henderson
Hosein M. Shokouh-Amiri
Gazi Zibari
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 9/2011
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-011-1442-9

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