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Frey's procedure for chronic pancreatitis: a 10-year single-center experience in Korea

Kim HS, Lee JH, Park JS, Yoon DS

PURPOSE: Chronic pancreatitis (CP) is progressive inflammatory disease that leads to irreversible destruction of the pancreatic parenchyma. The main indications for surgical intervention in cases involving CP are intractable pain,...
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The drain fluid amylase level on the first postoperative day predicts pancreatic fistula in chronic pancreatitis patients undergoing Frey procedure

Pavankumar V, Kalayarasan R, Gnanasekaran S, Pottakkat

BACKGROUNDS/AIMS: Abdominal drains are routinely placed following Frey procedure for chronic pancreatitis (CP) despite the low incidence of pancreatic fistula (PF). The utility of the first postoperative day (POD1) drain...
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Single institute experience of pancreatico-enteric anastomosis failure after pancreaticoduodenectomy

Woo Y, You Y, Han J, Choi H, Kim Y, Kwak B, Hong T, Kim D

PURPOSE: We have summarized the experience of our institution related to what treatment has been performed in patients with pancreatic fistula and their outcome. METHODS: Seventy-eight pancreatico-enteric anastomosis failure (PEAF) patients...
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Measurement of Pancreatic Fat Fraction by CT Histogram Analysis to Predict Pancreatic Fistula after Pancreaticoduodenectomy

Hong W, Ha HI, Lee JW, Lee SM, Kim MJ

OBJECTIVE: To evaluate the effectiveness of computed tomography (CT) Hounsfield unit histogram analysis (HUHA) in postoperative pancreatic fistula (PF) prediction. MATERIALS AND METHODS: Fifty-four patients (33 males and 21 females; mean...
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Current Definition of and Controversial Issues Regarding Postoperative Pancreatic Fistulas

Marchegiani G, Andrianello S, Salvia R, Bassi C

The International Study Group for Pancreatic Fistula (ISGPF) made the first attempt to standardize the outcome measure of fistulas in the field of pancreatic surgery by publishing the definition and...
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Comparison of Blumgart versus conventional duct-to-mucosa anastomosis for pancreaticojejunostomy after pancreaticoduodenectomy

Lee YN, Kim WY

BACKGROUNDS/AIMS: Pancreatic leakage is a major cause of postoperative death and morbidity after pancreaticoduodenectomy (PD). A recent study introduced Blumgart anastomosis (BA), which minimizes severe complications after PD. This study...
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Laparoscopic Longitudinal Pancreaticojejunostomy for Chronic Obstructive Pancreatitis

Chong EH, Lee JW, Choi SH

PURPOSE: Longitudinal pancreaticojejunostomy is a treatment option for selected patients with chronic obstructive pancreatitis that is rarely performed laparoscopically. METHODS: A 54-year-old man presented with chronic postprandial abdominal pain. A computed...
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Prediction of Late Postoperative Hemorrhage after Whipple Procedure Using Computed Tomography Performed During Early Postoperative Period

Han GJ, Kim S, Lee NK, Kim CW, Seo HI, Kim HS, Kim TU

OBJECTIVE: Postpancreatectomy hemorrhage (PPH) is an uncommon but serious complication of Whipple surgery. To evaluate the radiologic features associated with late PPH at the first postoperative follow up CT, before...
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Effect of end-to-side inverted mattress pancreaticojejunostomy following central pancreatectomy on the prevention of pancreatic fistula

Choi YY, Kim SG, Hwang YJ, Kwon HJ

PURPOSE: Central pancreatectomy (CP) may be indicated for the treatment of benign or low-grade malignant tumor in the neck and proximal body of the pancreas. Pancreatic fistula is one of...
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Extended pancreatic transection for secure pancreatic reconstruction during pancreaticoduodenectomy

Jwa EK, Hwang S

BACKGROUNDS/AIMS: Pancreaticoduodenectomy (PD) is associated with various surgical complications including healing failure of the pancreaticojejunostomy (PJ). This study intended to ensure blood supply to the pancreatic stump through extended pancreatic...
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Robotic Central Pancreatectomy with Pancreaticojejunostomy for Solid Pseudopapillary Neoplasm

Lee JW, Yoo J, Ko JW, Choi SH

PURPOSE: Minimally invasive central pancreatectomy has rarely performed because of its technical difficulty. Robot system enhances surgical dexterity to perform such complex procedures. METHODS: A 29-year-old woman was admitted with acute...
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Normal Postoperative Computed Tomography Findings after a Variety of Pancreatic Surgeries

Seo JW, Hwang HK, Lee M, Kim KW, Kang CM, Kim MJ, Chung YE

Pancreatic surgery remains the only curative treatment for pancreatic neoplasms, and plays an important role in the management of medically intractable diseases. Since the original Whipple operation in the 20th...
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An intuitive method of duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy: use of one-step circumferential interrupted sutures

Kim M, Shin WY, Lee KY, Ahn SI

Pancreaticoenteric anastomosis is the origin of postoperative pancreatic fistula (POPF). Although a variety of methods have been proposed to decrease the POPF rate, randomized controlled trials performed so far have...
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Technical Feasibility of Robotic Single Site Central Pancreatectomy with Duct-to-Mucosa Pancreaticojejunostomy in Cadaveric Experiment

Lee JH, Kang CM, Lee WJ

PURPOSE: Laparoscopic single site surgery is currently available, but may not be feasible for delicate and complex surgical procedures. However, computer technology embedded into robotic surgical system could provide the...
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Percutaneous Pancreatic Stent Placement for Postoperative Pancreaticojejunostomy Stenosis: A Case Report

Yang SK, Yoon CJ

Stenosis of the pancreatico-enteric anastomosis is one of the major complications of pancreaticoduodenectomy (PD). Endoscopic stent placement, has limited success rate as a nonsurgical treatment due to altered gastrointestinal anatomy....
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Endoscopic approaches to afferent and Roux-en-Y limb obstruction

Kozarek RA

Afferent limb syndrome can be seen following Billroth II gastric resection, Whipple procedure with duodenojejunostomy, or in association with an obstructed Roux-en-Y limb following hepaticojejunostomy. This syndrome classically presents with...
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Postoperative portal vein thrombosis and gastric hemorrhage associated with late-onset hemorrhage from the common hepatic artery after pancreaticoduodenectomy

Watanobe I, Ito Y, Akimoto E, Sekine Y, Haruyama Y, Amemiya K, Miyano S, Kosaka T, Machida M, Kitabatake T, Kojima K

Portal vein thrombosis (PVT) is a rare but serious postoperative complication of pancreaticoduodenectomy (PD). We reported a case of late-onset postoperative PVT with hemorrhage from the common hepatic artery (CHA)...
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Laparoscopic completion total gastrectomy for remnant gastric cancer following pancreaticoduodenectomy for bile duct cancer: a case report

Kim DJ, Kim W

Laparoscopic completion total gastrectomy following pancreaticoduodenectomy (PD) has not been reported. A 73-year-old male who underwent PD 25 years ago for distal common bile duct cancer visited a surgical department...
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A simple pancreaticojejunostomy technique for hard pancreases using only two transpancreatic sutures with buttresses: a comparison with the previous pancreaticogastrostomy and dunking methods

Kim EY, You YK, Kim DG, Hong TH

PURPOSE: In this study, we introduced a novel technique, the pancreaticojejunostomy (PJ), which uses only two transpancreatic sutures with buttresses (PJt), and compared the surgical outcomes with previously used methods,...
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The effects of the end-to-side inverted mattress pancreaticojejunostomy on postoperative pancreatic fistula: a single surgeon's experience

Kwon HJ, Ha HT, Choi YY, Kim SG

PURPOSE: Various pancreaticojejunostomy (PJ) techniques have been devised to minimize the rate of postoperative pancreatic fistula (POPF) after pancreatoduodenectomy (PD). This study describes a modification of the mattress suture PJ...
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