Pancreato‐enteric anastomosis: The duct evagination technique |
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| Authors: | Parul J. Shukla MS FRCS Sujit Vijay Sakpal MD Savio G. Barreto MS Vijay Naraynsingh MBBS FRCS FACS |
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| Affiliation: | 1. Department of Gastrointestinal & Hepatopancreatobiliary Surgical Oncology, Tata Memorial Hospital, Mumbai, India;2. Associate Professor and Consultant Surgeon.;3. Department of Surgery, Saint Barnabas Medical Center, Livingston, New Jersey;4. Department of General & Digestive Surgery, Flinders Medical Centre, Adelaide, Australia;5. Department of Surgery, University of the West Indies General Hospital, Port‐of‐Spain, Trinidad & Tobago |
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| Abstract: | Pancreatic anastomotic failure remains the most frequent and potentially life‐threatening complication following Pancreatoduodenectomy. Numerous modifications in the technique of the pancreatoenteric anastomosis have been reported. We suggest a simple modification which involves “evaginating” the cut end of the pancreatic duct. This technique helps avoid a compromise of the pancreatic ductal patency, and by achieving a wide pancreatic ductal opening can facilitate a safer pancreato‐enteric anastomosis. In addition, by possibly decreasing the likelihood of post‐operative pancreatic ductal stenosis, it has the potential to reduce post‐Pancreatoduodenectomy pancreatic exocrine insufficiency. The modification acts as an adjunct to an already established technique yielding good results. J. Surg. Oncol. 2009;100:277–278. © 2009 Wiley‐Liss, Inc. |
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| Keywords: | pancreatoduodenectomy anastomosis technique |
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