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Clinical Trial
Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy.
- Akihiro Cho, Hiroshi Yamamoto, Osamu Kainuma, Yorihiko Muto, Seonjin Park, Hidehito Arimitsu, Mamoru Sato, Hiroaki Souda, Atsushi Ikeda, Yoshihiro Nabeya, Nobuhiro Takiguchi, and Matsuo Nagata.
- Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba, 260-8717, Japan, acho@chiba-cc.jp.
- Surg Endosc. 2014 Jan 1; 28 (1): 315-8.
BackgroundAlthough 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.MethodsLaparoscopic 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.ResultsAccording to the International Study Group on Pancreatic Fistula criteria, 3 patients developed PF (grade A), whereas the remaining 12 patients did not.ConclusionsDunking pancreaticojejunostomy using mattress sutures is considered to be a feasible and safe method for performing pure laparoscopic pancreaticoduodenectomy.
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