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...
Saved in:
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2016-01-01
|
Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2016/5392923 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832545450969792512 |
---|---|
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 |
work_keys_str_mv | AT tufanegeli anoveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT tarkanunek anoveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT mucahitozbilgin anoveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT mustafagoztok anoveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT ibrahimastarcıoglu anoveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT tufanegeli noveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT tarkanunek noveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT mucahitozbilgin noveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT mustafagoztok noveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy AT ibrahimastarcıoglu noveltechniqueformanagingpancreaticojejunalanastomoticleakafterpancreaticoduodenectomy |