Title of article :
A simple and safe anastomosis in pancreaticogastrostomy using mattress sutures
Author/Authors :
Hiroaki Ohigashi MD، نويسنده , , Osamu Ishikawa، نويسنده , , Hidetoshi Eguchi، نويسنده , , Yo Sasaki، نويسنده , , Terumasa Yamada، نويسنده , , Kentaro Kishi، نويسنده , , Shingo Noura، نويسنده , , Ko Takachi، نويسنده , , Isao Miyashiro، نويسنده , , Masayuki Oue، نويسنده , , Masahiko Yano، نويسنده , , Shingi Imaoka، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2008
Pages :
5
From page :
130
To page :
134
Abstract :
When a suture does not trap a sufficient volume of pancreatic parenchyma in the conventional pancreatic anastomosis, laceration may be caused by even modest tension. Therefore, we used mattress sutures with gastric wall, which works protectively. An opening was made on the posterior wall of the stomach. By using a 3-0 polypropylene monofilament thread with a straightened needle at each end, the proximal gastric wall, the pancreas, and the distal gastric wall were sutured sequentially to accomplish anastomosis in a U-like fashion. After 2 to 4 additional sutures were completed, the pancreatic stump was invaginated into the stomach and all sutures are tied. Mattress sutures were made on the pancreas, which was held between the superior and inferior walls of the stomach. Postoperative amylase levels in the drainage fluid decreased significantly and none of the 17 patients developed pancreatic fistula formation. The technique is simple and shortens the time required for anastomosis.
Keywords :
Mattress suture , Pancreaticogastrostomy , Simple technique , Straight needle
Journal title :
The American Journal of Surgery
Serial Year :
2008
Journal title :
The American Journal of Surgery
Record number :
619119
Link To Document :
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