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Surgery for Pancreatic and Periampullary Cancer pp 95–99Cite as

Pancreaticojejunostomy: How I Do It

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Abstract

In this chapter, a simple, safe technique for pancreaticojejunal anastomosis is described and illustrated. I favor a variant of the two-layer Blumgart pancreaticojejunostomy characterized by (a) transpancreatic sutures that invaginate the pancreatic parenchyma into the jejunum and (b) a duct-to-mucosa anastomosis on the antimesenteric side of the bowel. The technique can be taught relatively effortlessly to surgical trainees and may be used irrespective of gland texture or pancreatic duct diameter.

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References

  1. Schwarz L, Bruno M, Parker NH, et al. Active surveillance for adverse events within 90 days: the standard for reporting surgical outcomes after pancreatectomy. Ann Surg Oncol. 2015;22:3522–9.

    Article  PubMed  Google Scholar 

  2. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005;138:8–13.

    Article  PubMed  Google Scholar 

  3. Moossa AR. Surgical treatment of pancreatic cancer. In: Moossa AR, editor. Tumors of the pancreas. Baltimore: Williams and Wikins; 1980. p. 446.

    Google Scholar 

  4. Tran K, Van Eijck C, Di Carlo V, Hop WC, Zerbi A, Balzano G, et al. Occlusion of the pancreatic duct versus pancreaticojejunostomy: a prospective randomized trial. Ann Surg. 2002;236:422–8.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Bassi C, Falconi M, Molinari E, Salvia R, Butturini G, Sartori N, et al. Reconstruction by pancreaticojejunostomy versus pancreaticogastrostomy following pancreatectomy: results of a comparative study. Ann Surg. 2005;242:767–71.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Friess H, Ho CK, Kleef J, Büchler MW. Pancreaticoduo-denectomy, distal pancreatectomy, segmental pancreatectomy, total pancreatectomy, and transduodenal resection of the papilla of vater. In: Blumgart LH, editor. Surgery of the liver, biliary tract, and pancreas. Philadelphia: Saunders; 2007. p. 877–903.

    Chapter  Google Scholar 

  7. Warren KW, Cattell RB. Basic techniques in pancreatic surgery. Surg Clin North Am. 1956;36:707–24.

    Article  CAS  PubMed  Google Scholar 

  8. Kleespies A, Rentsch M, Seeliger H, Albertsmeier M, Jauch KW, Bruns CJ. Blumgart anastomosis for pancreaticojejunostomy minimizes severe complications after pancreatic head resection. Br J Surg. 2009;96(7):741–50.

    Article  CAS  PubMed  Google Scholar 

  9. Mishra PK, Saluja SS, Gupta M, Rajalingam R, Pattnaik P. Blumgart's technique of pancreaticojejunostomy: an appraisal. Dig Surg. 2011;28(4):281–7.

    Article  PubMed  Google Scholar 

  10. Bose B, Katz MH, Fleming JB. Pancreatic cancer. In: Berger DH, Feig BW, editors. The MD Anderson surgical oncology handbook. 3rd ed. Crawfordville: R.R. Donnelley; 2012.

    Google Scholar 

  11. Van Buren G 2nd, Bloomston M, Hughes SJ, Winter J, Behrman SW, Zyromski NJ, Vollmer C, Velanovich V, Riall T, Muscarella P, Trevino J, Nakeeb A, Schmidt CM, Behrns K, Ellison EC, Barakat O, Perry KA, Drebin J, House M, Abdel-Misih S, Silberfein EJ, Goldin S, Brown K, Mohammed S, Hodges SE, McElhany A, Issazadeh M, Jo E, Mo Q, Fisher WE. A randomized prospective multicenter trial of pancreaticoduodenectomy with and without routine intraperitoneal drainage. Ann Surg. 2014;259(4):605–12. https://doi.org/10.1097/SLA.0000000000000460.

    Article  PubMed  Google Scholar 

  12. Denbo JW, Slack RS, Bruno M, et al. Selective perioperative administration of pasireotide is more cost-effective than routine administration for pancreatic fistula prophylaxis. J Gastrointest Surg. 2017;21(4):636–46. https://doi.org/10.1007/s11605-016-3340-7.

    Article  PubMed  Google Scholar 

  13. Allen PJ, Gönen M, Brennan MF, Bucknor AA, Robinson LM, Pappas MM, Carlucci KE, D'Angelica MI, DeMatteo RP, Kingham TP, Fong Y, Jarnagin WR. Pasireotide for postoperative pancreatic fistula. N Engl J Med. 2014;370(21):2014–22. https://doi.org/10.1056/NEJMoa1313688. Erratum in: N Engl J Med. 2014;371(1):94. PMID: 24849084.

    Article  PubMed  CAS  Google Scholar 

  14. Trede M, et al. Personal observations, opinions, and approaches to cancer of the pancreas and periampullary are. Surg Clin North Am. 2001;81:595–610.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Andrew C. Gagel & Matthew H. G. Katz

Authors
  1. Andrew C. Gagel
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  2. Matthew H. G. Katz
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Correspondence to Matthew H. G. Katz .

Editor information

Editors and Affiliations

  1. Chief Hepato-Pancreato-Biliary and Gastrointestinal Division, Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, U.P., India

    Mallika Tewari

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Gagel, A.C., Katz, M.H.G. (2018). Pancreaticojejunostomy: How I Do It. In: Tewari, M. (eds) Surgery for Pancreatic and Periampullary Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-7464-6_9

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  • DOI: https://doi.org/10.1007/978-981-10-7464-6_9

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-7463-9

  • Online ISBN: 978-981-10-7464-6

  • eBook Packages: MedicineMedicine (R0)

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