Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy

被引：24

作者：

Cho, Akihiro ^{[1
]}

Yamamoto, Hiroshi ^{[1
]}

Kainuma, Osamu ^{[1
]}

Muto, Yorihiko ^{[1
]}

Park, SeonJin ^{[1
]}

Arimitsu, Hidehito ^{[1
]}

Sato, Mamoru ^{[1
]}

Souda, Hiroaki ^{[1
]}

Ikeda, Atsushi ^{[1
]}

Nabeya, Yoshihiro ^{[1
]}

Takiguchi, Nobuhiro ^{[1
]}

Nagata, Matsuo ^{[1
]}

机构：

[1] Chiba Canc Ctr Hosp, Div Gastroenterol Surg, Chiba 2608717, Japan

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2014年 / 28卷 / 01期

关键词：

Laparoscopy; Pancreaticoduodenectomy; Laparoscopic pancreaticoduodenectomy; Pancreaticojejunostomy; Dunking; Mattress suture;

D O I：

10.1007/s00464-013-3156-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic pancreatic resection, laparoscopic pancreaticoduodenectomy still presents major technical difficulties, such as when performing pancreatic-enteric anastomosis. Methods Laparoscopic dunking pancreaticojejunostomy using mattress sutures was performed in 15 consecutive patients with a soft pancreas and a nondilated pancreatic duct between October 2011 and December 2012. Results According to the International Study Group on Pancreatic Fistula criteria, 3 patients developed PF (grade A), whereas the remaining 12 patients did not. Conclusions Dunking pancreaticojejunostomy using mattress sutures is considered to be a feasible and safe method for performing pure laparoscopic pancreaticoduodenectomy.

引用

页码：315 / 318

页数：4

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