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Safer intestinal invagination for a solid pancreatico-jejunal anastomosis in presence of a soft texture pancreatic remnant and non-dilated duct |
Francesco Giudici, Benedetta Pesi, Daniela Zambonin, Stefano Scaringi, Paolo Bechi and Giacomo Batignani |
Florence, Italy
Author Affiliations: Unit of Surgery, Department of Surgery and Translational Medicine, University of Florence Medical School, Careggi University Hospital, Florence, Italy (Giudici F, Pesi B, Zambonin D, Scaringi S, Bechi P and Batignani G)
Corresponding Author: Giacomo Batignani, MD, Department of Surgery and Translational Medicine, University of Florence, Largo Brambilla 3, Florence 50139, Italy (Tel: +39-55-7946185; Email: g.batignani@unifi.it) |
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Abstract Pancreatico-jejunal anastomosis after pancreatoduodenectomy still represents the Achilles’ heel of the procedure: the failure of this anastomosis is relatively common and it is the main cause of post-operative morbidity and mortality. Studies have described different reconstruction strategies for the control of the development of post-operative pancreatic fistula, but the strategy to obtain a safer pancreatico-jejunal anastomosis is still far from satisfaction. We report a novel variation of the invagination technique based on preliminary clinical experience in 8 patients who underwent pancreatico-jejunal anastomosis after pancreatoduodenectomy in our hepatobiliopancreatic center from 2008 to 2014. The variation could obtain a safer intestinal invagination for a solid pancreatico-jejunal anastomosis even in the presence of soft pancreatic remnant.
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