<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Objectives</bold>. The aim of our study is to identify a surgical technical that has the lowest rate of pancreatic fistulas in pancreatico-gastric anastomosis following duodenopancreatectomies. We studied pancreatico-gastric anastomosis performed with stitches compared to the ones performed without stitches.<bold>Methods</bold>. Our experimental model is based on ten piglets, which were divided into 2 groups. In the first group (n=5) the pancreatico-gastric anastomosis was done using double purse-string threads one passed through the gastric seromuscular layer and one through the gastric mucosa. In the second group (n=5) the pancreatico-gastric anastomosis was performed using sutures through the stomach and pancreas.<bold>Results</bold>. Postoperative amylasemia was higher in the second group. In the first group no pancreatico-gastric fistulas were observed, whereas pancreatic necrosis was observed only at a superficial level of the pancreatic stump. In the second group, two cases had developed fistulas, both bordered by large areas of coagulation necrosis accompanied by pancreatic duct hyperplasia. Duration of the anastomosis was shorter for the first group.<bold>Conclusions</bold>. In conclusion, the pancreatico-gastric anastomosis performed using two purse-string suture is a feasible, safe and fast process.</abstract>

Objectives. The aim of our study is to identify a surgical technical that has the lowest rate of pancreatic fistulas in pancreatico-gastric anastomosis following duodenopancreatectomies. We studied pancreatico-gastric anastomosis performed with stitches compared to the ones performed without stitches.Methods. Our experimental model is based on ten piglets, which were divided into 2 groups. In the first group (n=5) the pancreatico-gastric anastomosis was done using double purse-string threads one passed through the gastric seromuscular layer and one through the gastric mucosa. In the second group (n=5) the pancreatico-gastric anastomosis was performed using sutures through the stomach and pancreas.Results. Postoperative amylasemia was higher in the second group. In the first group no pancreatico-gastric fistulas were observed, whereas pancreatic necrosis was observed only at a superficial level of the pancreatic stump. In the second group, two cases had developed fistulas, both bordered by large areas of coagulation necrosis accompanied by pancreatic duct hyperplasia. Duration of the anastomosis was shorter for the first group.Conclusions. In conclusion, the pancreatico-gastric anastomosis performed using two purse-string suture is a feasible, safe and fast process.

Pancreatico-Gastric Anastomosis with and without Sutures – Experimental Swine Model

M1 Departament, University of Medicine and Pharmacy Târgu-Mureş, Surgical Clinic No. 1, Târgu-Mureş Emergency County Hospital, Romania

M5 Department, University of Medicine and Pharmacy Târgu-Mureş, Surgical Clinic No. 1, Târgu-Mureş Emergency County Hospital, Romania

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

M2 Department, University of Medicine and Pharmacy Târgu-Mureş, Central Laboratory of Târgu-Mureş Emergency County Hospital, Romania

M1 Department, University of Medicine and Pharmacy Târgu-Mureş, Târgu-Mureş Emergency County Hospital, Romania

Acta Marisiensis - Seria Medica

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

Objectives. The aim of our study is to identify a surgical technical that has the lowest rate of pancreatic fistulas in pancreatico-gastric anastomosis...

Pancreatico-Gastric Anastomosis with and without Sutures – Experimental Swine Model

Online veröffentlicht: 06. Aug. 2015

Seitenbereich: 105 - 109

Eingereicht: 01. Apr. 2015

Akzeptiert: 01. Mai 2015

DOI: https://doi.org/10.1515/amma-2015-0032

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

© Tudor A et al.

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

Pancreatico-Gastric Anastomosis with and without Sutures – Experimental Swine Model

Online veröffentlicht: 06. Aug. 2015

Seitenbereich: 105 - 109

Eingereicht: 01. Apr. 2015

Akzeptiert: 01. Mai 2015

DOI: https://doi.org/10.1515/amma-2015-0032

Schlüsselwörterduodenopancreatectomy, pancreatic fistula, pancreatico-gastric anastomosis, double purse string

© Tudor A et al.

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

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