Effect of a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy: A single surgeon's experiences
- Authors
- Kim, Ki Hun; Lee, Hyo Jun; Lee, Young Joo; Park, Kwang Min; Hwang, Shin; Ahn, Chul Soo; Moon, Deok Bog; Ha, Tae Yong; Song, Gi Won; Kim, Dong-Sik; Moon, Ki Myung; Jung, Dong Hwan; Kim, Bum Soo; Lee, Sung Gyu
- Issue Date
- Jul-2007
- Keywords
- Duct-to-mucosa anastomosis; Pancreatic leakage; Pancreaticoduodenectomy; Pancreaticojejunostomy
- Citation
- HEPATO-GASTROENTEROLOGY, v.54, no.77, pp 1368 - 1372
- Pages
- 5
- Indexed
- SCOPUS
- Journal Title
- HEPATO-GASTROENTEROLOGY
- Volume
- 54
- Number
- 77
- Start Page
- 1368
- End Page
- 1372
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/17856
- ISSN
- 0172-6390
- Abstract
- Background/Aims: The aim of the present study is to ascertain the effect of a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy through a single surgeon's experiences.
Methodology: From March 1, 2002 to March 31, 2005, among 512 patients who had pancreaticoduodenectomy at Asan Medical Center, 56 patients who had a single layer continuous suture between pancreatic parenchyma and jejunum after duct-tomucosa anastomosis were selected consecutively for prospective study.
Results: There were 44 pylorus-preserving pancreaticoduodenectomy, 10 pancreaticoduodenectomy, 2 hepatopancreaticoduodenectomy. No pancreatic leakage was reported. All three wound infections recovered after conservative treatment, and a gastric ulcer bleeding was resolved by suture-ligation through laparotomy. There was no mortality after surgery.
Conclusions: Although it is a report with low surgical volume, a single layer continuous suture between pancreatic parenchyma and jejunum after duct-tomucosa anastomosis in pancreaticoduodenectomy is thought to be a good method to prevent the complications of pancreatic leakage using a tight close attachment of pancreas and jejunum.
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Collections - 2. Clinical Science > Department of Hepato-Biliary-Pancreatic Surgery > 1. Journal Articles
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