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Langenbeck's Archives of Surgery

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01-05-2016 | How-I-Do-It Articles

Pancreatojejunostomy with modified purse-string suture technique

Authors: Dezső Kelemen, Róbert Papp, Bálint Kaszás, Zsanett Bíró, András Vereczkei

Published in: Langenbeck's Archives of Surgery | Issue 3/2016

Abstract

Purpose

Despite many efforts, pancreatic fistula remains the most troublesome complication following pancreatic resections, especially in case of anastomosis made with soft pancreatic tissue. The purpose of the authors was to show their modification of purse-string pancreatodigestive anastomosis and the results obtained.

Methods

Between January 2013 and June 2015, the technique was applied in 49 patients; one purse-string suture and two U-shaped mattress sutures were used to create the pancreatojejunal anastomosis. In case of soft pancreatic parenchyma, an external stent was temporarily left in the main pancreatic duct. The most frequent pathology was pancreatic cancer, and a pylorus-preserving Whipple procedure was mostly done.

Results

Postoperative early morbidity rate was 35 %. There were two fistulas, one grade A fistula from a fibrotic pancreas (4.2 %) and one grade B in case of a soft pancreas (4 %). However, there was no reoperation and mortality.

Conclusions

According to favorable results, the modification of the purse-string suture technique makes this method even safer.

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Title: Pancreatojejunostomy with modified purse-string suture technique
Authors: Dezső Kelemen
Róbert Papp
Bálint Kaszás
Zsanett Bíró
András Vereczkei
Publication date: 01-05-2016
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 3/2016
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-015-1371-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pancreatojejunostomy with modified purse-string suture technique

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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