Detailed Abstract
[BP Video Exhibition - Biliary & Pancreas (Pancreas Disease/Surgery)]
[BP VE 3] The Novel Technique to Reconstruct Pancreaticoenterostomy during Minimal Invasive Pancreaticoduodenectomy: Modified Duct-to-Mucosa Technique
Joo Dong KIM 1, Dong Lak CHOI 1
1 Division of Hepatobiliary Pancreas Surgery And Liver Transplantation, Department of Surgery, Daegu Catholic University Medical Center, REPUBLIC OF KOREA
Background : Postoperative pancreatic fistulas (POPFs) are close related to significant morbidity and mortality after pancreaticoduodenectomy (PD). Herein, we introduce modification of the conventional duct-to-mucosa (DM) pancreaticojenunostomy(PJ) during minimal invasive PD (MIPD) and our initial excellent postoperative outcome focusing on POPF with video clips (both laparoscopic and robotic approach)
Methods : Our modified DM anastomosis is characterized that meticulous suture between pull-out jejunal mucosa and main pancreatic duct to enhance sealing without strong approximation for out-layer suture between pancreas parenchyme and jejunal wall. We enrolled 25 patients who underwent minimal invasive PD including 9 patients who underwent robotic approach until November 2023.
Results : Among them, clinical relevant-POPF (grade B) developed in only one patient and there was no grade C POPF after MIPD. Postoperative complication rate was not different between open PD group and MIPD group using our same technique.
Conclusions : The modified DM anastomosis in our study could be easy and safe technique for MIPD to reduce the incidence of POPFs.
Methods : Our modified DM anastomosis is characterized that meticulous suture between pull-out jejunal mucosa and main pancreatic duct to enhance sealing without strong approximation for out-layer suture between pancreas parenchyme and jejunal wall. We enrolled 25 patients who underwent minimal invasive PD including 9 patients who underwent robotic approach until November 2023.
Results : Among them, clinical relevant-POPF (grade B) developed in only one patient and there was no grade C POPF after MIPD. Postoperative complication rate was not different between open PD group and MIPD group using our same technique.
Conclusions : The modified DM anastomosis in our study could be easy and safe technique for MIPD to reduce the incidence of POPFs.
SESSION
BP Video Exhibition
Video Exhibition 3/21/2024 12:00 AM - 12:00 AM