My Approach of Pancreatic Reconstruction after Laparoscopic Whipple’s Surgery

C Palanivelu, MS, FACS, P Senthilnathan, MS, FACS, R Parthasarathi, MS, P S Rajan, MS, S Rajapandian, MS, P Praveen Raj, MS, V Vaithiswaran, MS

GEM Hospital

The Principle aim of reconstruction after pancreatic duodenectomy is to minimize pancreatic jejunostomy (PJ) leak which continues to contribute to significant morbidity. The factors that influence the technique anatomists include diameter of pancreatic duct, consistency of pancreas and expertise of surgeon.

Two techniques of PJ anastomosis are performed at our centre – Duct to mucosal anastomosis and modified during with duct to mucosal anastomosis. We perform the modified dunking technique for soft pancreas with minimally duct. For firm pancreas with dilutor duct, a laparoscopic adaptation of Blumghart’s duct to mucosal anastomosis is done. This high definition video will show the technical details of the above two techniques.

Session: Video ChannelDay 2

Program Number: V085

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