Problems of reconstruction during pancreatoduodenectomy

George H. Sakorafas, Helmut Friess, Bruno M. Balsiger, Markus W. Büchler, Michael G. Sarr

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Pancreatoduodenectomy may be a difficult operation, not only during the resectional part of the procedure, but also during reconstruction. Usually, these problems are due to local conditions of the organs/tissues, such as small diameter of the common bile duct or pancreatic duct, friable soft pancreas, vascular anomalies, etc. Reconstruction may also be problematic because of the hemodynamic instability of the patient during surgery (subsequent to massive hemorrhage), and in those unusual cases, delayed reconstruction may be a life-saving, wise choice.

Original languageEnglish (US)
Pages (from-to)363-369
Number of pages7
JournalDigestive Surgery
Volume18
Issue number5
DOIs
StatePublished - Dec 24 2001

Keywords

  • Aberrant hepatic arteries
  • Biliary-enteric anastomosis
  • Celiac artery stenosis
  • Pancreatoduodenectomy
  • Pancreatoenterostomy
  • Vascular anomalies
  • Whipple procedure

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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  • Cite this

    Sakorafas, G. H., Friess, H., Balsiger, B. M., Büchler, M. W., & Sarr, M. G. (2001). Problems of reconstruction during pancreatoduodenectomy. Digestive Surgery, 18(5), 363-369. https://doi.org/10.1159/000050174