Pancreatic fistula is the most serious postoperative complication after pancreaticoduodenectomy, and it leads to intra-abdominal abscess, sepsis, hemorrhage and high mortality. To prevent pancreatic fistula, wrapping of skeletonized vessels and the anastomotic site of the pancreaticoenterostomy using the round ligament, greater omentum, or both has been evaluated. However, the round ligament and greater omentum have already been resected in patients who have previously undergone total gastrectomy, making them unavailable in pancreaticoduodenectomy. Therefore, we developed a procedure for wrapping the anastomotic site of the pancreaticojejunostomy using the jejunum, namely the ‘jejunal scarf-covering method’ as a novel technique to prevent pancreatic fistula following pancreaticoduodenectomy in patients who have previously undergone total gastrectomy.
Takatsugu Oida, MD, PhD
Department of Surgery, Social Insurance Yokohama Central Hospital
268 Yamashita-cho, Naka-ku, Yokohama 231-8553 (Japan)
Tel. +81 45 641 1921, E-Mail email@example.com
Published online: July 19, 2012
Number of Print Pages : 6
Number of Figures : 3,
Case Reports in Gastroenterology
Vol. 6, No. 2, Year 2012 (Cover Date: May - August)
Journal Editor: Urrutia R. (Rochester, Minn.), Lomberk G. (Rochester, Minn.)
ISSN: 1662-0631 (Print), eISSN: 1662-0631 (Online)
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