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Pancreatic duct anatomy in the corpus area: implications for closure and anastomotic technique in pancreas surgery
Authors:Ulrich Steger  Peter Range  Florian Mayer  Jens Waschke  Stephan Timm  Nicolas Schlegel
Institution:(1) Department of Surgery I, University of Wuerzburg, Oberduerrbacherstr.6, 97080 Wuerzburg, Germany;(2) Department of Radiology, University of Wuerzburg, Oberduerrbacherstr.6, 97080 Wuerzburg, Germany;(3) Institute of Anatomy and Cell Biology, University of Wuerzburg, Koellikerstr. 6, 97070 Wuerzburg, Germany;(4) Present address: Department of Radiology, Leopoldina Krankenhaus, Gustav-Adolf-Str. 8, 97422 Schweinfurt, Germany;(5) Present address: Department of Surgery, University of Mainz, Langenbeckstr. 1, 55131 Mainz, Germany
Abstract:

Purpose  

Pancreatic anastomosis and stump closure after partial pancreatectomy is the most critical step in pancreas surgery due to a high percentage of postoperative fistulas. Whether transverse cut side branches or the main pancreatic duct presents the source of this leak is still unknown. Thus, better understanding of the anatomy of the pancreatic duct system in the resection area could significantly improve the surgical technique and reduce complications.
Keywords:
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