Pancreaticojejunostomy-a review of modern techniques

Langenbecks Arch Surg. 2020 Feb;405(1):13-22. doi: 10.1007/s00423-020-01855-6. Epub 2020 Jan 23.

Abstract

Background: Pancreaticojejunal anastomosis is one of the most demanding procedures in surgery. Up to now, no technique has been proven to reduce the incidence of POPF when compared to the other methods.

Purpose: The aim of this review was to provide a concise and illustrated description of the most recent methods of pancreaticojejunostomy. Their development was directly related to the still ongoing search by surgeons for such a technique of anastomosis that would eliminate the problem of POPF.

Conclusions: Knowledge of various techniques of anastomosis may help the surgeon to find the most suitable and optimal method of pancreatic-intestinal anastomosis for the patient.

Keywords: Anastomosis; Pancreatic fistula; Pancreaticoduodenectomy; Pancreaticojejunostomy.

Publication types

  • Review

MeSH terms

  • Humans
  • Pancreas / surgery
  • Pancreatic Fistula / etiology
  • Pancreatic Fistula / prevention & control
  • Pancreaticojejunostomy / adverse effects
  • Pancreaticojejunostomy / methods*
  • Pancreaticojejunostomy / standards