A Novel Technique for Managing Pancreaticojejunal Anastomotic Leak after Pancreaticoduodenectomy

EGELİ T., ÜNEK T., Ozbilgin M., Goztok M., AstarcJoglu I.

CASE REPORTS IN SURGERY, vol.2016, 2016 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 2016
  • Publication Date: 2016
  • Doi Number: 10.1155/2016/5392923
  • Journal Name: CASE REPORTS IN SURGERY
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Dokuz Eylül University Affiliated: Yes

Abstract

Pancreaticoduodenectomy (Whipple's procedure) remains the only definitive treatment option for tumors of the periampullary region. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. When these complications occur, treatment strategy depends on the severity of anastomotic leakage, with patients with severe leakages requiring reoperation. The optimal surgical method used for reoperation is selected from among different options such as wide drainage, definitive demolition of the pancreaticojejunal anastomosis and performing a new one, or completion pancreatectomy. Here we present a novel, simple technique to manage severe pancreatic leakage via ligamentum teres hepatis patch.