Ann Digest Liver Dis | Volume 1, Issue 1 | Review Article | Open Access

Pancreaticojejunostomy vs Pancreaticogastrostomy Reconstruction Following Pancreaticoduodenectomy: Meta-Analysis of Various Techniques to Prevent Pancreatic Fistula after Duodeno-Pancreatectomy

Danilo Coco1* and Silvana Leanza2

1Department of General Surgery and Surgical Pathology, Madre Teresa of Calcutta Hospital, Schiavonia, Padova, Italy
2Department of General Surgery and Surgical Pathology, Carlo Urbani Hospital, Jesi, Ancona, Italy

*Correspondance to: Danilo Coco 

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Abstract

Pancreatico-duodenectomy has been the main procedure for patients with malignant and benign diseases. Pancreatic anastomosis remains the Achille’s heel. Two types of pancreatic anastomosis have been gained favor in recent years: Pancreatico-gastrostomy versus Pancretico-jujenostomy. In both techniques there are still many others modified technique. In this review, we analyzed various types of anastomoses to underline which is the major safe anastomosis with good results.

Keywords:

Pancretico-jujenostomy (PJ)- -PJ end to side; PJ end to end; PJ duct to mucosa sec cattell-warren; PJ duct to mucosa sec blumgart; PJ sec Peng binding/dunking; PJ Su ansa R-Y; PJ pair watch; PJ ante-colic; PJ retrocolic; PJ under colic (Viola); PJ end to sideVolkman technique; PJ with transfixing suture chen technique; Pancreatico-gastrostomy: Waugh-Clagett technique; Ohigashi technique; Montenegro technique; Stent technique

Citation:

Coco D, Leanza S. Pancreaticojejunostomy vs Pancreaticogastrostomy Reconstruction Following Pancreaticoduodenectomy: Meta-Analysis of Various Techniques to Prevent Pancreatic Fistula after Duodeno-Pancreatectomy. Ann Digest Liver Dis. 2018; 1(1): 1005.

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