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Toogood, Giles J.; Wilson, Thomas G.; Padbury, Robert T. A.
Australian and New Zealand Journal of Surgery, 19/May , Letnik: 69, Številka: 5Journal Article
Background: Different techniques of reconstruction following pancreaticoduodenectomy have been described. A new modification using an isolated Roux‐en‐Y loop is reported. Methods: The isolated loop is taken up to bile duct rather than pancreas as previously described. Results: Seventeen patients have undergone this procedure. Two pancreatic fistulae developed, both following postoperative abscess formation. There was no operative mortality. Conclusion: This reconstruction provides separation of biliary and pancreatic fluid but adds two further benefits: the wide jejunal lumen allows for an easier pancreaticojejunal anastomosis, particularly when operating on a soft pancreas, and separation of gastric and biliary anastomoses prevents the efflux of bile into stomach.
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Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Vir: Osebne bibliografije
in: SICRIS
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