Mahamana Technique of Pancreaticogastrostomy: A Safe and Reliable Technique for a Difficult Pancreatic Stump

Pancreatoduodenectomy is a complex surgical procedure involving three anastomoses. Anastomosis of the pancreatic stump with the gastrointestinal tract is associated with most complications described in the postoperative period. So, there have been multiple attempts to discover safe and sound steps f...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 5; p. e59576
Main Authors Tripathi, Mayank, Vineet, Kumar, Kumar, Nishant, Shukla, Piyush K
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 03.05.2024
Cureus
Subjects
Diabetes
Fistula
Gastroenterology
General Surgery
Hypertension
Oncology
Pancreas
Pancreatic cancer
Pancreaticoduodenectomy
Patients
Stents
Stomach
Sutures
pancreatico gastrostomy
pancreatic tumors
pancreatic-biliary cancer
whipples operation
hepato-pancreato-biliary surgery
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Summary:Pancreatoduodenectomy is a complex surgical procedure involving three anastomoses. Anastomosis of the pancreatic stump with the gastrointestinal tract is associated with most complications described in the postoperative period. So, there have been multiple attempts to discover safe and sound steps for this particular anastomosis. Pancreaticogastrostomy involves anastomosis between the remaining pancreas and stomach. Since it was first performed, its surgical steps have been modified multiple times, but there is no gold standard method to perform it. In this paper, we describe the surgical steps of pancreaticogastrostomy in difficult pancreatic stumps in eight patients using two transpancreatic sutures, one purse string suture, and the incorporation of transpancreatic sutures in the third layer of the gastrojejunostomy anastomosis. Postoperative outcomes of this series have provided encouraging short-term results.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.59576