Surgical Treatment of the Pancreatic Stump: Technical Notes
The aim of this chapter is to give an overview of different ways of treating the pancreatic stump after pancreaticoduodenectomy, describing and illustrating the surgical techniques, but neither addressing results nor comparing these reconstructive techniques, because that will be the subject of the next chapter. Here we describe the techniques of pancreaticojejunostomy and pancreaticogastrostomy (and their main variations), and the technique of occlusion of the main pancreatic duct (with no anastomosis). First, we will briefly treat two further important aspects: the choice of sewing materials and the preparation of the pancreatic stump. And a final recommendation: whatever technique you choose, pancreatic anastomosis will require a long, plodding procedure. Pancreatic surgery is not suited to the hasty surgeon.
KeywordsPancreatic Duct Pancreatic Fistula Pancreatic Juice Main Pancreatic Duct Technical Note
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