Whipple’s procedure and retrocolic gastroenteric anastomosis
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Dosyalar
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: Pancreatoduodenectomy (PD) is the only treatment option in patients with periampullary region tumors. Gastroenterostomy
(GE) is carried out with or without Braun’s anastomosis according to preference.
Material and Methods: Prospectively recorded files of 17 patients who underwent Whipple operation between September 2015 and
March 2017 were retrospectively investigated for morbidity, mortality, and the way of GE anastomosis.
Results: The youngest patient was 44 and the ldest was 75 years old with a mean age of 63.4. Six were male and 11 were female. Five
cases (26%) were ductal adenocarcinoma, 11 (68%) were ampullary adenocarcinoma, and one (6%) was ampullary NET. Classical
Whipple procedure was performed in all patients. Retrocolic GE was applied in all cases with Braun’s anastomosis in 6 and without
in 11 patients. There were only two cases of panreatic fistula (grade B) (11.7%).
Conclusion: Retrocolic gastroenterostomy under the omentum can provide more protected anatomical position providing advantage
for lower and upper abdominal quadrant drainage in case of possible pancreaticojejunal leakages during pancreatoduodenectomy.
Açıklama
Anahtar Kelimeler
Kaynak
Annals of Medical Research
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Muhammedoglu, B., Kerem Tolan, H., Topuz, S., & Kokdas, S. (2021). Whipple’s procedure and retrocolic gastroenteric anastomosis . Annals of Medical Research,