<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction</bold>. Although in recent years there have been various versions of pancreatic - digestive reconstruction after cephalic duodenopancreatectomy, this issue is still highly debated.<bold>Purpose</bold>. This paper aims at comparing postoperative outcomes after gastric pancreatic anastomosis using transfixing threads as opposed to the purse-string suture method.<bold>Material and methods</bold>. Our study consisted of a lot of 15 patients that underwent cephalic duodenopancreatectomy from the 1th of May 2014 to the 30th of April 2015. The pancreatico - digestive reconstruction was done by pancreatico-gastric anastomosis using three different techniques: double purse-string suture used for the patients in the first group (group 1, n = 5 patients); one purse-string suture and 2 transfixing “U-sutures” passed through the stomach and the pancreas for the patients in the second group (group 2, n = 5 patients) and ductomucosa anastomosis with pancreatico-gastric transfixing threads in the third group (group 3, n = 5 patients).<bold>Results</bold>. Morbidity was 40% for the entire lot. Pancreatic fistula, occurred in two patients, one type A fistula in a patient in group 2 and one type B fistula in a patient in group 3. Biliary fistula occurred in one patient in group 2. Mortality was at 13.3%. The median time to carry out the anastomosis in group 1 was 14 minutes, for patients in group 2, 20 minutes, and for patients in group 3, 25 minutes.<bold>Conclusions</bold>. Gastric pancreatic anastomosis using purse-string sutures is a feasible, safe and fast process which reduces complications due to transfixing pancreatic threads.</abstract>

Introduction. Although in recent years there have been various versions of pancreatic - digestive reconstruction after cephalic duodenopancreatectomy, this issue is still highly debated.Purpose. This paper aims at comparing postoperative outcomes after gastric pancreatic anastomosis using transfixing threads as opposed to the purse-string suture method.Material and methods. Our study consisted of a lot of 15 patients that underwent cephalic duodenopancreatectomy from the 1th of May 2014 to the 30th of April 2015. The pancreatico - digestive reconstruction was done by pancreatico-gastric anastomosis using three different techniques: double purse-string suture used for the patients in the first group (group 1, n = 5 patients); one purse-string suture and 2 transfixing “U-sutures” passed through the stomach and the pancreas for the patients in the second group (group 2, n = 5 patients) and ductomucosa anastomosis with pancreatico-gastric transfixing threads in the third group (group 3, n = 5 patients).Results. Morbidity was 40% for the entire lot. Pancreatic fistula, occurred in two patients, one type A fistula in a patient in group 2 and one type B fistula in a patient in group 3. Biliary fistula occurred in one patient in group 2. Mortality was at 13.3%. The median time to carry out the anastomosis in group 1 was 14 minutes, for patients in group 2, 20 minutes, and for patients in group 3, 25 minutes.Conclusions. Gastric pancreatic anastomosis using purse-string sutures is a feasible, safe and fast process which reduces complications due to transfixing pancreatic threads.

Pancreatico-gastric Anastomosis Following Cephalic Duodenopancreatectomy: New Perspectives

University of Medicine and Pharmacy Tirgu Mures, Romania

Surgical Clinic No. 1, Târgu-Mureș Emergency County Hospital, Mureș County, Romania

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Introduction. Although in recent years there have been various versions of pancreatic - digestive reconstruction after cephalic duodenopancreatectomy, this...

Pancreatico-gastric Anastomosis Following Cephalic Duodenopancreatectomy: New Perspectives

Published Online: Nov 07, 2015

Page range: 172 - 175

Received: Jun 25, 2015

Accepted: Jul 18, 2015

DOI: https://doi.org/10.1515/amma-2015-0058

Keywords
pancreatico-gastric anastomosis, double purse string, pancreatic fistula, duodenopancreatectomy

© 2015 Tudor A et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Pancreatico-gastric Anastomosis Following Cephalic Duodenopancreatectomy: New Perspectives

Published Online: Nov 07, 2015

Page range: 172 - 175

Received: Jun 25, 2015

Accepted: Jul 18, 2015

DOI: https://doi.org/10.1515/amma-2015-0058

Keywordspancreatico-gastric anastomosis, double purse string, pancreatic fistula, duodenopancreatectomy

© 2015 Tudor A et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
pancreatico-gastric anastomosis, double purse string, pancreatic fistula, duodenopancreatectomy