External pancreatic ductal stenting in minimally invasive pancreatoduodenectomy: How to do it?

Ram Prakash Gurram; Harilal S L; Senthil Gnanasekaran; Satyaprakash Ray Choudhury; Biju Pottakkat; Kalayarasan Raja

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자료유형: 학술저널

저자정보: Ram Prakash Gurram (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Harilal S L (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Senthil Gnanasekaran (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Satyaprakash Ray Choudhury (Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital) Biju Pottakkat (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Kalayarasan Raja (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER))

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제27권 제2호

발행연도: 2023.4

수록면: 211 - 216 (6page)

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It has been shown that external pancreatic ductal stenting (EPDS) can reduce the incidence of clinically relevant postoperative pancreatic fistula. Although studies have described EPDS in open pancreaticoduodenectomy (PD), EPDS in minimally invasive PD has not been reported yet. Thus, the objective of this study was to describe the technique of EPDS in minimally invasive PD. The procedure was performed either laparoscopically or using a robot. Once PD was completed, key steps included triple enterotomy, threading of silk-suture through all enterotomies and exteriorization, completing posterior layer of pancreaticojejunostomy (PJ), railroading stent through preplaced silk-suture, intubation of stent into the pancreatic duct, completion of PJ, followed by hepaticojejunostomy and parietalization of jejunum at the stent exit site. EPDS in PD through a minimally invasive approach can be performed safely in selected cases with either a small-sized pancreatic duct or a soft pancreas.

#Pancreatoduodenctomy #Pancreatic duct #Stenting #Minimal invasive #Pancreatic fistula

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