Dropstep2017-08-16T14:32:47+02:00Technique two-layered invagination-end-to-end-pancreatojejunostomy|
The posterior walls of the pancreatic stump and the jejunal cut end are anastomosed by the placement of four completely transpancreatic interlocking mattress-sutures, while the anterior walls are anastomosed by three to four incompletely transpancreatic interlocking mattress-sutures. […]
Dropstep2017-08-16T14:31:48+02:00Technique two-layered invagination-end-to-end-pancreatojejunostomy|
The inner line of the anastomosis is performed using three or four horizontal mattress sutures parallel to the long axis of the pancreas. First, the needle is placed from outside the jejunum to inside the jejunal lumen, through the anterior caudal side of the jejunal wall about 3-4 cm from the cut edge. The needle is withdrawn from the jejunal opening at the cut end. […]
Dropstep2017-08-16T14:31:00+02:00Technique two-layered invagination-end-to-end-pancreatojejunostomy|
The seromuscular layer of the first 2-3 cm of the jejunal cut end is removed before the anastomosis is performed, preserving the jejunal mucosa. The pancreatic capsule, about 2 cm away from the cut margin, is anastomosed to the seromuscular coat of the jejunum posteriorly. […]
Dropstep2017-08-16T14:30:16+02:00Technique two-layered invagination-end-to-end-pancreatojejunostomy|
The cut edges of the pancreas and the jejunum are sutured together circumferentially, forming the inner suture-line. The outer suture-line is performed between the surfaces of the pancreatic capsule and the seromuscular wall of the jejunum, a few centimeters away from the cut ends, causing invertion of the jejunal wall and invagination of the pancreatic stump into the inverted jejunum. […]
Dropstep2017-01-22T22:25:48+01:00Geen categorie|
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Dropstep2017-01-22T22:26:00+01:00Geen categorie|
Hier komt de introtekst. De tekst die staat voor de “read more” waarin dus een gedeelte van het bericht al te lezen valt.
Dit is in het overzicht te lezen en is nu zo ingesteld dat na de lees meer dit intro gedeelte niet meer zichtbaar is.
Dropstep2017-01-22T22:25:21+01:00Geen categorie|
Hier komt de introtekst. De tekst die staat voor de “read more” waarin dus een gedeelte van het bericht al te lezen valt.
Dit is in het overzicht te lezen en is nu zo ingesteld dat na de lees meer dit intro gedeelte niet meer zichtbaar is.
Dropstep2016-12-21T13:16:15+01:00Duct-to-mucosa combined with invagination pancreatogastrostomy|
Hier komt de introtekst. De tekst die staat voor de “read more” waarin dus een gedeelte van het bericht al te lezen valt.
Dit is in het overzicht te lezen en is nu zo ingesteld dat na de lees meer dit intro gedeelte niet meer zichtbaar is.
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Dropstep2017-08-16T15:16:40+02:00Technique duct invagination end-to-side-pancreatojejunostomy|
A stent is inserted into the main pancreatic duct and fixed with 2 sutures; these sutures are preserved. A 10-gauge intravenous catheter is passed through the anterior and posterior walls of the jejunum. Through this catheter, the pancreatic stent is introduced and the main pancreatic duct is invaginated into the jejunal lumen for about 1 cm. […]
Dropstep2017-08-16T15:15:54+02:00Technique duct evagination end-to-side-pancreatojejunostomy|
Before the pancreatojejunal anastomosis is performed, the walls of the main pancreatic duct at the cut end are everted and sutured to the periductal pancreatic parenchyma circumferentially. This is done by placing each needle from the cut surface of the pancreas just around the main duct, through the periductal parenchyma and ductal wall 2-3 mm away from the cut end, and outwards via the ductal lumen. […]
