E-ISSN 2367-699X | ISSN 2367-7414
 

Review Article 


PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov.

Cited by (3)

Abstract
Objective: One of the most feared complications after pancreaticoduodenectomy (PD) remains postoperative pancreatic fistula (POPF). In the current study, we demonstrate a new technique for pancreaticogastrostomy (PG), using one continuous seromuscular circular suture without trans pancreas sutures for PG.
Material and Methods: During the period December 2012 to December 2014, 32 consecutive patients underwent PD (either pylorus-preserving or classical Whipple’s) carried out using the above suture-less PG. Indication for PD was pancreatic duct carcinoma. Procedures were carried out by the same surgeon, same approach and anastomotic method in order to avoid technical changes.
Results: Postoperative mortality was zero and morbidity was 21.8% (n=7). Pancreatic leakage (Grade A/B) occurred in 2 (6.2%) patients. These pancreatic leaks were managed nonoperative by maintaining the closed drains. The most common postoperative complication delayed gastric emptying (Grade B/C) in 3 (9.3%) patients.
Conclusion: We conclude that the suture-less PG possesses several advantages over conventional PG and pancreaticojejunostomy (PJ). This technic seems to lessen the risk of a pancreatic leak, probably by diminishing the possibility of suture damage to the pancreas and by embedding the transected stump into the posterior gastric wall. This novel PG is a valid and valuable procedure, especially for soft, nonfibrotic pancreas.

Key words: Pancreaticoduodenectomy; Pancreaticogastrostomy; Suture-less pancreaticogastrostomy; Postoperative pancreatic fistula


 
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How to Cite this Article
Pubmed Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov. PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE. Int J Surg Med. 2015; 1(1): 2-6. doi:10.5455/ijsm.20150411090731


Web Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov. PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE. http://www.ejos.org/?mno=183640 [Access: February 20, 2019]. doi:10.5455/ijsm.20150411090731


AMA (American Medical Association) Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov. PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE. Int J Surg Med. 2015; 1(1): 2-6. doi:10.5455/ijsm.20150411090731



Vancouver/ICMJE Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov. PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE. Int J Surg Med. (2015), [cited February 20, 2019]; 1(1): 2-6. doi:10.5455/ijsm.20150411090731



Harvard Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov (2015) PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE. Int J Surg Med, 1 (1), 2-6. doi:10.5455/ijsm.20150411090731



Turabian Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov. 2015. PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE. International Journal of Surgery and Medicine, 1 (1), 2-6. doi:10.5455/ijsm.20150411090731



Chicago Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov. "PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE." International Journal of Surgery and Medicine 1 (2015), 2-6. doi:10.5455/ijsm.20150411090731



MLA (The Modern Language Association) Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov. "PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE." International Journal of Surgery and Medicine 1.1 (2015), 2-6. Print. doi:10.5455/ijsm.20150411090731



APA (American Psychological Association) Style

Daniel Vasilev Kostov, Georgi Kobakov, Daniel Yankov (2015) PANCREATOGASTROSTOMY WITH ONE CONTINUOUS SEROMUSCULAR CIRCULAR SUTURE. International Journal of Surgery and Medicine, 1 (1), 2-6. doi:10.5455/ijsm.20150411090731