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01-01-2014 | Dynamic Manuscript

Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy

Authors: Akihiro Cho, Hiroshi Yamamoto, Osamu Kainuma, Yorihiko Muto, SeonJin Park, Hidehito Arimitsu, Mamoru Sato, Hiroaki Souda, Atsushi Ikeda, Yoshihiro Nabeya, Nobuhiro Takiguchi, Matsuo Nagata

Published in: Surgical Endoscopy | Issue 1/2014

Abstract

Background

Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic pancreatic resection, laparoscopic pancreaticoduodenectomy still presents major technical difficulties, such as when performing pancreatic–enteric anastomosis.

Methods

Laparoscopic dunking pancreaticojejunostomy using mattress sutures was performed in 15 consecutive patients with a soft pancreas and a nondilated pancreatic duct between October 2011 and December 2012.

Results

According to the International Study Group on Pancreatic Fistula criteria, 3 patients developed PF (grade A), whereas the remaining 12 patients did not.

Conclusions

Dunking pancreaticojejunostomy using mattress sutures is considered to be a feasible and safe method for performing pure laparoscopic pancreaticoduodenectomy.

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Cameron JL, Pitt HA, Yeo CJ, Lillemoe KD, Kaufman HS, Coleman J (1993) One hundred and forty-five consecutive pancreaticoduodenectomies without mortality. Ann Surg 217:430–438PubMedCrossRef

Shankar S, Russell RCG (1989) Hemorrhage in pancreatic disease. Br J Surg 76:863–866PubMedCrossRef

Cullen JJ, Sarr MG, Ilstrup DM (1994) Pancreatic anastomotic leak after pancreaticoduodenectomy: Incidence, significance, and management. Am J Surg 168:295–298PubMedCrossRef

Rumstadt B, Schwab M, Korth P, Samman M, Trede M (1998) Hemorrhage after pancreatoduodenectomy. Ann Surg 227:236–241PubMedCrossRef

Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, Neoptolemos J, Sarr M, Traverso W, Buchler M, International Study Group on Pancreatic Fistula Definition (2005) Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery 138:8–13PubMedCrossRef

Cho A, Yamamoto H, Nagata M, Takiguchi N, Shimada H, Kainuma O, Souda H, Gunji H, Miyazaki A, Ikeda A, Tohma T (2009) A totally laparoscopic pylorus-preserving pancreaticoduodenectomy and reconstruction. Surg Today 39:359–362PubMedCrossRef

Cho A, Yamamoto H, Nagata M, Takiguchi N, Shimada H, Kainuma O, Souda H, Gunji H, Miyazaki A, Ikeda A, Tohma T, Matsumoto I (2009) Comparison of laparoscopy-assisted and open pylorus-preserving pancreaticoduodenectomy for periampullary disease. Am J Surg 198:445–449PubMedCrossRef

Gagner M, Pomp A (1994) Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc 8:408–410PubMedCrossRef

Dulucq JL, Wintringer P, Mahajna A (2006) Laparoscopic pancreaticoduodenectomy for benign and malignant diseases. Surg Endosc 20:1045–1050PubMedCrossRef

10.

Palanivelu C, Jani K, Senthilnathan P, Parthasarathi R, Rajapandian S, Madhankumar MV (2007) Laparoscopic pancreaticoduodenectomy: technique and outcomes. J Am Coll Surg 205:222–230PubMedCrossRef

11.

Kendrick ML, Cusati D (2010) Totally laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg 145:19–23PubMedCrossRef

12.

Kuroki T, Adachi T, Okamoto T, Ono S, Kanematsu T (2012) Laparoscopic single-branch resection of the pancreas for intraductal papillary mucinous neoplasm. Hepatogastroenterology 59:997–999PubMedCrossRef

13.

Asbun HJ, Stauffer JA (2012) Laparoscopic vs. open pancreaticoduodenectomy: overall outcomes and severity of complications using the Accordion Severity Grading System. J Am Coll Surg 215:810–819PubMedCrossRef

14.

Bassi C, Butturini G, Molinari E, Mascetta G, Salvia R, Falconi M, Gumbs A, Pederzoli P (2004) Pancreatic fistula rate after pancreatic resection. The importance of definitions. Dig Surg 21:54–59PubMedCrossRef

15.

Akamatsu N, Sugawara Y, Komagome M, Shin N, Cho N, Ishida T, Ozawa F, Hashimoto D (2010) Risk factors for postoperative pancreatic fistula after pancreaticoduodenectomy: the significance of the ratio of the pancreatic duct to the pancreas body as a predictor of leakage. J Hepatobiliary Pancreat Sci 17:322–328PubMedCrossRef

16.

Bassi C, Falconi M, Molinari E, Mantovani W, Butturini G, Gumbs AA, Salvia R, Pederzoli P (2003) Duct-to-mucosa versus end-to-side pancreaticojejunostomy reconstruction after pancreaticoduodenectomy: results of a prospective randomized trial. Surgery 134:766–771PubMedCrossRef

17.

Berger AC, Howard TJ, Kennedy EP, Sauter PK, Bower-Cherry M, Dutkevitch S, Hyslop T, Schmidt CM, Rosato EL, Lavu H, Nakeeb A, Pitt HA, Lillemoe KD, Yeo CJ (2009) Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula? A randomized, prospective, dual-institution trial. J Am Coll Surg 208:738–747PubMedCrossRef

Title: Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy
Authors: Akihiro Cho
Hiroshi Yamamoto
Osamu Kainuma
Yorihiko Muto
SeonJin Park
Hidehito Arimitsu
Mamoru Sato
Hiroaki Souda
Atsushi Ikeda
Yoshihiro Nabeya
Nobuhiro Takiguchi
Matsuo Nagata
Publication date: 01-01-2014
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 1/2014
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-013-3156-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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