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Langenbeck's Archives of Surgery

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01-12-2023 | Pancreaticojejunostomy | Brief report

How i do it: microscope augmented pancreaticojejunostomy

Authors: Christopher Seng Hong Lim, Anubhav Mittal, Jaswinder Singh Samra

Published in: Langenbeck's Archives of Surgery | Issue 1/2023

Abstract

Purpose

Post-operative pancreatic fistula (POPF) is perhaps one of most dreaded pancreatoduodenectomy-related complications. Various approaches to mitigate this risk have been explored, with conflicting results and no clear consensus on the comparative superiority of any one technique. We postulate that regardless of technique, the key to reducing POPF is a robust pancreatic anastomosis with careful apposition of tissues, in particular the duct-to-mucosa anastomosis.

Method

We describe the fashioning of a pancreatojejunostomy with an external pancreatic stent in the setting of a high-risk anastomosis with help of a 10 × magnification surgical microscope. A technical description with a short, edited video is presented.

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Title: How i do it: microscope augmented pancreaticojejunostomy
Authors: Christopher Seng Hong Lim
Anubhav Mittal
Jaswinder Singh Samra
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Pancreaticojejunostomy
Pancreatoduodenostomy
Pancreatoduodenostomy
Published in: Langenbeck's Archives of Surgery / Issue 1/2023
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-023-03055-4

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Springer Medicine

How i do it: microscope augmented pancreaticojejunostomy

Abstract

Purpose

Method

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

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