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Surgery Today

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01-09-2013 | Original Article

The use of the continuous suture technique in dunking pancreatojejunostomy without stenting

Authors: Tomoe Katoh, Kazuaki Kawano, Akira Furutani, Takefumi Katsuki, Masahiko Onoda, Atsunori Oga

Published in: Surgery Today | Issue 9/2013

Abstract

Purpose

To evaluate the newly developed continuous suture technique in dunking pancreatojejunostomy without pancreatic duct stenting after pancreatoduodenectomy (PD).

Methods

Thirty-four consecutive pancreaticojejunostomies (patient age 73 ± 11, 41–88) with continuous sutures without stenting after PD were performed from 2006 to 2011. This study evaluated the operation time, intraoperative blood loss, initial postoperative day of oral feeding, postoperative hospital stay, postoperative early complications, and late complications. The indications for surgery included bile duct cancer (n = 12), pancreatic cancer (n = 11), intraductal papillary mucinous neoplasm (n = 3), cancer of the papilla (n = 3), duodenal cancer (n = 2), and others (n = 3). Portal vein or superior mesenteric vein resections and reconstructions were performed in 7 patients, and another organ was resected in 3.

Results

No operative or in-hospital deaths occurred. The operation time (minutes) was 315 ± 68 and, postoperative hospital stay (days) was 27 ± 16. Pancreatic fistula, wound infection, and delayed gastric emptying were observed in 15, 15, and 9 %, respectively. Grade C pancreatic fistula was seen in 2 patients. Both recovered after laparotomy and drainage and were successfully discharged. Worsening diabetes mellitus was seen in 2 of 34 patients, and dilatation of the pancreatic duct was seen in 3 of 28 patients.

Conclusion

The newly developed continuous suture technique in dunking pancreatojejunostomy without stenting may therefore produce favorable results in PD.

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Title: The use of the continuous suture technique in dunking pancreatojejunostomy without stenting
Authors: Tomoe Katoh
Kazuaki Kawano
Akira Furutani
Takefumi Katsuki
Masahiko Onoda
Atsunori Oga
Publication date: 01-09-2013
Publisher: Springer Japan
Published in: Surgery Today / Issue 9/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0363-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The use of the continuous suture technique in dunking pancreatojejunostomy without stenting

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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