Results of a Technique of Pancreaticojejunostomy That Optimizes Blood Supply to the Pancreas

Strasberg, Steven M.; McNevin, Michael S.

doi:10.1016/s1072-7515(98)00243-9

Cited by 60 publications

(43 citation statements)

References 15 publications

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“…In support of this technology, a previous study reported that determining the resection margin using pancreatic perfusion with Doppler techniques was useful in preventing anastomosis site leakage. 8 Based on our current experience, ICG pancreatic perfusion-guided determination of appropriate resection margin is useful and feasible during pancreaticoduodenectomy.…”

Section: Discussionmentioning

confidence: 97%

Indocyanine Green-Fluorescent Pancreatic Perfusion-Guided Resection of Distal Pancreas in Solid Pseudopapillary Neoplasm: Usefulness and Feasibility During Pancreaticobiliary Surgery

Kim

Rho

2018

J Minim Invasive Surg

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ICG is widely applied in real-time imaging during abdominal surgery, plastic surgery, as well as oncologic staging and treatment. A twenty-eight year-old female patient was found to have a 4.5 cm solid pseudopapillary neoplasm in the tail of the pancreas. Under ICG-fluorescent pancreatic perfusion-guidance, we easily defined the margin of the pancreatic tumor and secured the resection margin when performing laparoscopic distal pancreatosplenectomy in the patient. No clinically relevant complications, including postoperative pancreatic fistula, were noted. Intravenous ICG can be very easily and quickly detected in the pancreas under near infrared light. This enhanced vision gives strong contrast to the organ compared to a necrotic tumor with poor blood perfusion, such as solid pseudopapillary neoplasm. Based on our current experience, ICG pancreatic perfusion-guided determination of appropriate resection margin is useful and feasible during pancreaticoduodenectomy.

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Section: Discussionmentioning

confidence: 97%

Indocyanine Green-Fluorescent Pancreatic Perfusion-Guided Resection of Distal Pancreas in Solid Pseudopapillary Neoplasm: Usefulness and Feasibility During Pancreaticobiliary Surgery

Kim

Rho

2018

J Minim Invasive Surg

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“…the part of the gland situated above the venous confluence, is frequently used as a site of transection by surgeons due to its thinness. Our study focuses on elucidating the anatomic and morphological features of the pancreatic isthmus as a site for surgical transection [5,11,21]. …”

Section: Discussionmentioning

confidence: 99%

“…Most surgeons regard the pancreatoenteral anastomosis after PD as the ‘Achilles heel’ of the whole procedure [5,6,25,26]. Anastomosis leakage is a serious complication following PD and determines the overall surgical outcome.…”

Section: Discussionmentioning

confidence: 99%

“…lowest complication rate, is still under debate and so far no consensus has been achieved [1,2]. Although pancreatic anatomy has been studied extensively by anatomists and surgeons over the last decades and pancreatologists have gained insight into the vascular supply as well as the anatomy and morphology of the pancreatic head, our knowledge of the pancreatic isthmus region remains woefully underdeveloped [4,5,6,7,8]. The aim of this study was to analyze pancreatic isthmus anatomy and morphology, especially in relation to the presence of second-degree pancreatic ducts, a feature important for surgical anastomosis.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Morphology of the Pancreatic Isthmus

Hać¹,

Dobosz²,

Nałecz

et al. 2010

Pancreatology

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“…The preferable material for pancreatoenteral anastomosis is monofilament non-or absorbable thread (1,7,11); silk is rarely used (4). Some centers use 2-0 and 3-0 sutures because thin thread has the potential to damage tissue.…”

Section: Discussionmentioning

confidence: 99%

Pancreatogastrostomy After Pancreatoduodenectomy

Hać¹,

Dobrowolski²,

Śledziński³

2008

Polish Journal of Surgery

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Pancreatoduodenectomy has almost a hundred years of history. After resection, the pancreatic stump requires an anastomosis with the digestive tract. There is ongoing discussion about the optimal standard of digestive tract reconstruction. Two major groups of pancreatic anastomosis are used: pancreatogastrostomy and pancreatojejunostomy, but after some randomized and several other documented series there is no agreement on the superiority one over another method. The important feature related to pancreatic anastomosis' complication rate is the number of procedures performed each year in a facility. This manuscript summarizes the experience of the Gdansk Surgical Department with pancreatogastrostomy.

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Results of a Technique of Pancreaticojejunostomy That Optimizes Blood Supply to the Pancreas

Cited by 60 publications

References 15 publications

Indocyanine Green-Fluorescent Pancreatic Perfusion-Guided Resection of Distal Pancreas in Solid Pseudopapillary Neoplasm: Usefulness and Feasibility During Pancreaticobiliary Surgery

Indocyanine Green-Fluorescent Pancreatic Perfusion-Guided Resection of Distal Pancreas in Solid Pseudopapillary Neoplasm: Usefulness and Feasibility During Pancreaticobiliary Surgery

Surgical Morphology of the Pancreatic Isthmus

Pancreatogastrostomy After Pancreatoduodenectomy

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