Essential Tips for Reconstruction After Pancreaticoduodenectomy

Sung Sik Han; Dong Eun Park; Koo Jeong Kang; Young Kyoung You

doi:10.1007/978-981-16-1996-0_47

Essential Tips for Reconstruction After Pancreaticoduodenectomy

Sung Sik Han, Dong Eun Park, Koo Jeong Kang, Young Kyoung You

Department of Surgery

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Pancreatico-enteric anastomosis is the most critical procedure in pancreaticoduodenectomy, because post-operative pancreatic fistula (POPF) sometimes causes severe morbidity and even mortality. Since pancreaticoduodenectomy was introduced in 1935, countless techniques were conducted to reduce the POPF. However, until now, no standardized method was established. Any type of anastomosis has advantages as well as disadvantages. Thus, which method to choose may vary depending on the operator’s preference and experience. Regarding stent insertion, there are various reports about the choice of internal or external stent. Also, there is controversy regarding the usefulness of stent insertion. Herein, we introduce two most frequently performed techniques of pancreatico-enteric anastomosis and transhepatic external drainage technique of pancreatic juice after anastomosis.

Original language	English
Title of host publication	Hepato-Biliary-Pancreatic Surgery and Liver Transplantation
Subtitle of host publication	a Comprehensive Guide, with Video Clips
Publisher	Springer Nature
Pages	311-318
Number of pages	8
ISBN (Electronic)	9789811619960
ISBN (Print)	9789811619953
DOIs	https://doi.org/10.1007/978-981-16-1996-0_47
State	Published - 1 Jan 2023

Bibliographical note

Publisher Copyright:
© Springer Nature Singapore Pte Ltd. 2023.

Keywords

Conventional pancreaticojejunostomy
External drainage
Modified Blumgart pancreaticojejunostomy
Pancreatic stent
Pancreatico-gastrostomy
Pancreatico-jejunostomy
Pancreaticoduodenectomy

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10.1007/978-981-16-1996-0_47

Cite this

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abstract = "Pancreatico-enteric anastomosis is the most critical procedure in pancreaticoduodenectomy, because post-operative pancreatic fistula (POPF) sometimes causes severe morbidity and even mortality. Since pancreaticoduodenectomy was introduced in 1935, countless techniques were conducted to reduce the POPF. However, until now, no standardized method was established. Any type of anastomosis has advantages as well as disadvantages. Thus, which method to choose may vary depending on the operator{\textquoteright}s preference and experience. Regarding stent insertion, there are various reports about the choice of internal or external stent. Also, there is controversy regarding the usefulness of stent insertion. Herein, we introduce two most frequently performed techniques of pancreatico-enteric anastomosis and transhepatic external drainage technique of pancreatic juice after anastomosis.",

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AU - Park, Dong Eun

AU - Kang, Koo Jeong

AU - You, Young Kyoung

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AB - Pancreatico-enteric anastomosis is the most critical procedure in pancreaticoduodenectomy, because post-operative pancreatic fistula (POPF) sometimes causes severe morbidity and even mortality. Since pancreaticoduodenectomy was introduced in 1935, countless techniques were conducted to reduce the POPF. However, until now, no standardized method was established. Any type of anastomosis has advantages as well as disadvantages. Thus, which method to choose may vary depending on the operator’s preference and experience. Regarding stent insertion, there are various reports about the choice of internal or external stent. Also, there is controversy regarding the usefulness of stent insertion. Herein, we introduce two most frequently performed techniques of pancreatico-enteric anastomosis and transhepatic external drainage technique of pancreatic juice after anastomosis.

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KW - External drainage

KW - Modified Blumgart pancreaticojejunostomy

KW - Pancreatic stent

KW - Pancreatico-gastrostomy

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ER -

Essential Tips for Reconstruction After Pancreaticoduodenectomy

Abstract

Bibliographical note

Keywords

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