Document Detail


Stapling techniques to facilitate resection of the head of the pancreas.
MedLine Citation:
PMID:  1941738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirteen patients underwent duodenocephalopancreatectomy (DCP) with the mechanical staplers to divide the pancreatic neck and to secure haemostasis of the retroportal pancreatic lamina. The stapling techniques used on the pancreas are described. In nine patients with DCP the stapled distal pancreas was anastomosed to the jejunum with Roux-en-Y drainage; one pancreatic complication and no deaths were observed. In four other patients undergoing DCP who were at high risk for severely compromised general conditions, reconstruction of the digestive tract was simplified by leaving the stapled distal pancreas definitively closed: pancreatic complications were recorded in two cases, with no deaths. Mechanical staplers considerably facilitated resection of the neck of the pancreas and of the retroportal pancreatic lamina. All 13 patients who underwent DCP with the use of stapler techniques on the pancreas, including four high-risk patients, were discharged to convalesce on an oral diet after a median postoperative hospital stay of 23 days (range 16-90 days).
Authors:
R Dionigi; L Dominioni; A Benevento; G Carcano
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Royal College of Surgeons of Edinburgh     Volume:  36     ISSN:  0035-8835     ISO Abbreviation:  J R Coll Surg Edinb     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-12-26     Completed Date:  1991-12-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503110     Medline TA:  J R Coll Surg Edinb     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  233-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Pavia, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anastomosis, Roux-en-Y
Choledochostomy / methods
Female
Humans
Jejunostomy / methods
Male
Middle Aged
Pancreas / surgery*
Pancreaticojejunostomy / methods
Surgical Staplers*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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