Pancreatic reconstruction techniques after pancreaticoduodenectomy: a review of the literature.

Abstract

Introduction: Postoperative pancreatic fistula is the most troublesome complication after pancreaticoduodenectomy, and is an on-going area of concern for pancreatic surgeons. The specific pancreatic reconstruction technique is an important factor influencing the development of postoperative pancreatic fistula after pancreaticoduodenectomy. Areas covered: In this paper, we briefly introduced the definition and relevant influencing factors of postoperative pancreatic fistula. We performed a search of all meta-analyses published in the last 5 years and all published randomized controlled trials comparing different pancreatic anastomotic techniques, and we evaluated the advantages and disadvantages of different techniques. Expert opinion: No individual anastomotic method can completely avoid postoperative pancreatic fistula. Selecting specific techniques tailored to the patient's situation intraoperatively may be key to reducing the incidence of postoperative pancreatic fistula.

• Authors: Yien Xiang, Jiacheng Wu, Chao Lin, Yongsheng Yang, Dan Zhang, Yingjun Xie, Xiaoxiao Yao, Xuewen Zhang
• Journal: Expert review of gastroenterology & hepatology (Expert Rev Gastroenterol Hepatol) Vol. 13 Issue 8 Pg. 797-806 (Aug 2019) ISSN: 1747-4132 [Electronic] England
• PMID: 31282769 (Publication Type: Journal Article, Review)

Topics

• Anastomosis, Surgical
• Humans
• Jejunum (surgery)
• Pancreas (surgery)
• Pancreatic Fistula (diagnosis, etiology, surgery)
• Pancreaticoduodenectomy (adverse effects, methods)
• Risk Factors
• Stomach (surgery)