Which is the best pancreatic anastomosis?

Minerva Chir. 2019 Jun;74(3):241-252. doi: 10.23736/S0026-4733.19.07997-5. Epub 2019 Jan 18.

Abstract

Postoperative pancreatic fistula is responsible for most of the complications following pancreaticoduodenectomy and several surgical techniques and strategies to prevent it have been suggested. None of these was ever proved to be the safest. Aim of this review is to present existing evidence on the best pancreatic anastomosis.

Publication types

  • Review

MeSH terms

  • Anastomosis, Roux-en-Y / methods
  • Anastomosis, Surgical / methods
  • Anastomotic Leak / etiology
  • Anastomotic Leak / prevention & control*
  • Fibrin Tissue Adhesive
  • Humans
  • Intestinal Mucosa / surgery
  • Jejunum / surgery*
  • Meta-Analysis as Topic
  • Pancreas / surgery*
  • Pancreatic Fistula / etiology
  • Pancreatic Fistula / prevention & control*
  • Pancreaticoduodenectomy / adverse effects*
  • Randomized Controlled Trials as Topic
  • Stents
  • Stomach / surgery*
  • Suture Techniques
  • Sutures
  • Tissue Adhesives

Substances

  • Fibrin Tissue Adhesive
  • Tissue Adhesives