Journal of Gastrointestinal Surgery

, Volume 14, Issue 2, pp 408–415

Reconstruction Following the Pylorus Preserving Whipple Resection: PJ, HJ, and DJ

  • Eugene P. Kennedy
  • Jennifer Brumbaugh
  • Charles J. Yeo
How I Do It

Abstract

Introduction

Pancreaticoduodenectomy is one of the most challenging procedures performed by general surgeons.

Discussion

Many studies have been performed looking at the technical aspects of reconstruction after pancreaticoduodenal resection. Multiple randomized trials have failed to convincingly demonstrate the superiority of any single approach or technique. Here, we illustrate our approach to reconstruction, with an emphasis on technical aspects and details.

Conclusion

The fine points can help avoid technical errors that result in anastomotic failure.

Keywords

Pancreaticoduodenectomy Pancreaticojejunostomy Hepaticojejunostomy Duodenojejunostomy 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Eugene P. Kennedy
    • 1
  • Jennifer Brumbaugh
    • 1
  • Charles J. Yeo
    • 1
    • 2
  1. 1.Department of Surgery, Jefferson Pancreatic, Biliary and Related Cancer CenterThomas Jefferson UniversityPhiladelphiaUSA
  2. 2.Department of SurgeryThomas Jefferson UniversityPhiladelphiaUSA

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