37 57

Cited 0 times in

Fish-Mouth Closure of the Pancreatic Stump and Parachuting of the Pancreatic End with Double U Trans-Pancreatic Sutures for Pancreatico-Jejunostomy

DC FieldValueLanguage
dc.contributor.author이우정-
dc.date.accessioned2018-10-11T08:53:37Z-
dc.date.available2018-10-11T08:53:37Z-
dc.date.issued2018-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/163439-
dc.description.abstractPURPOSE: Leakage of pancreatico-jejunal anastomosis (PJ) remains the primary cause of morbidity and mortality after Whipple's operation. To reduce the occurrence thereof, the present author recently began to apply a modification of the Blumgart method of anastomosis after Whipple's operation (hereinafter referred to as Lee's method), with very good results. MATERIALS AND METHODS: The modified method and technique utilizes fish-mouth closure of a beveled pancreatic stump and parachuting of the pancreatic end with double U trans-pancreatic sutures (symmetric horizontal mattress-type sutures between the full thickness of the pancreas and the jejunal limb) after duct-to-mucosa pancreatico-jejunostomy. RESULTS: Eleven cases of pylorus preserving Whipple's operation have been performed without a clinically significant postoperative pancreatic fistula. CONCLUSION: This new method (Lee's method) may dramatically reduce the occurrence of postoperative pancreatic fistula after Whipple's operation.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYonsei Medical Journal-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAnastomosis, Surgical/adverse effects-
dc.subject.MESHAnastomosis, Surgical/methods*-
dc.subject.MESHAviation-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMorbidity-
dc.subject.MESHMouth-
dc.subject.MESHPancreatic Fistula-
dc.subject.MESHPancreatic Neoplasms/complications-
dc.subject.MESHPancreatic Neoplasms/surgery*-
dc.subject.MESHPancreaticoduodenectomy/adverse effects*-
dc.subject.MESHPancreaticojejunostomy/methods*-
dc.subject.MESHPostoperative Complications/surgery-
dc.subject.MESHPylorus-
dc.subject.MESHSutures-
dc.subject.MESHTreatment Outcome-
dc.titleFish-Mouth Closure of the Pancreatic Stump and Parachuting of the Pancreatic End with Double U Trans-Pancreatic Sutures for Pancreatico-Jejunostomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorWoo-Jung Lee-
dc.identifier.doi10.3349/ymj.2018.59.7.872-
dc.contributor.localIdA02993-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid30091321-
dc.subject.keywordBlumgart anastomosis-
dc.subject.keywordPancreatico-jejunostomy-
dc.subject.keywordWhipple's operation-
dc.subject.keywordfish-mouth closure of pancreatic stump-
dc.subject.keywordpost-operative pancreatic fistula (POPF)-
dc.contributor.alternativeNameLee, Woo Jung-
dc.contributor.affiliatedAuthorLee, Woo Jung-
dc.citation.volume59-
dc.citation.number7-
dc.citation.startPage872-
dc.citation.endPage878-
dc.identifier.bibliographicCitationYonsei Medical Journal, Vol.59(7) : 872-878, 2018-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.