A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy

Pancreaticoduodenectomy (Whipple’s procedure) remains the only definitive treatment option for tumors of the periampullary region. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. When these complications...

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Main Authors: Tufan Egeli, Tarkan Unek, Mucahit Ozbilgin, Mustafa Goztok, Ibrahim Astarcıoglu
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2016/5392923
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author Tufan Egeli
Tarkan Unek
Mucahit Ozbilgin
Mustafa Goztok
Ibrahim Astarcıoglu
author_facet Tufan Egeli
Tarkan Unek
Mucahit Ozbilgin
Mustafa Goztok
Ibrahim Astarcıoglu
author_sort Tufan Egeli
collection DOAJ
description Pancreaticoduodenectomy (Whipple’s procedure) remains the only definitive treatment option for tumors of the periampullary region. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. When these complications occur, treatment strategy depends on the severity of anastomotic leakage, with patients with severe leakages requiring reoperation. The optimal surgical method used for reoperation is selected from among different options such as wide drainage, definitive demolition of the pancreaticojejunal anastomosis and performing a new one, or completion pancreatectomy. Here we present a novel, simple technique to manage severe pancreatic leakage via ligamentum teres hepatis patch.
format Article
id doaj-art-8a6802a1838f426693e12cf6d4f23a30
institution Kabale University
issn 2090-6900
2090-6919
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-8a6802a1838f426693e12cf6d4f23a302025-02-03T07:25:45ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/53929235392923A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after PancreaticoduodenectomyTufan Egeli0Tarkan Unek1Mucahit Ozbilgin2Mustafa Goztok3Ibrahim Astarcıoglu4HPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, TurkeyHPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, TurkeyHPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, TurkeyHPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, TurkeyHPB Surgery and Liver Transplantation Unit, Department of General Surgery, School of Medicine, Dokuz Eylul University, Inciralti, 35340 İzmir, TurkeyPancreaticoduodenectomy (Whipple’s procedure) remains the only definitive treatment option for tumors of the periampullary region. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. When these complications occur, treatment strategy depends on the severity of anastomotic leakage, with patients with severe leakages requiring reoperation. The optimal surgical method used for reoperation is selected from among different options such as wide drainage, definitive demolition of the pancreaticojejunal anastomosis and performing a new one, or completion pancreatectomy. Here we present a novel, simple technique to manage severe pancreatic leakage via ligamentum teres hepatis patch.http://dx.doi.org/10.1155/2016/5392923
spellingShingle Tufan Egeli
Tarkan Unek
Mucahit Ozbilgin
Mustafa Goztok
Ibrahim Astarcıoglu
A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy
Case Reports in Surgery
title A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy
title_full A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy
title_fullStr A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy
title_full_unstemmed A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy
title_short A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy
title_sort novel technique for managing pancreaticojejunal anastomotic leak after pancreaticoduodenectomy
url http://dx.doi.org/10.1155/2016/5392923
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