Pancreatogastrostomy using a transgastric approach

Pancreatogastrostomy using a transgastric approach 2017-01-23T15:09:39+00:00

Using two hemstitch sutures

A seromuscular incision is made in the posterior wall of the stomach, with a size similar to the diameter of the pancreatic stump; the mucosa is remained intact at first. The first hemstitch suture is applied in the […]

Binding purse-string-mattress technique

Through the full-thickness of the posterior gastric wall, a transverse incision of 2 cm in length is made. A transverse full-thickness incision of 2 cm in length is applied in the anterior wall of the stomach, opposite to […]

Double purse-string duct-to-mucosa

A full-thickness incision is made in the posterior wall of the stomach, opposite to the pancreatic stump, with a size 1 cm less than the diameter of the pancreas. Around the incision, two seromuscular purse-string sutures are placed […]

Single purse-string duct-to-mucosa

The seromuscular layer of the posterior wall of the stomach is excised for a diameter that matches the diameter of the pancreatic stump. A single purse-string suture was placed around the seromuscular excision. Two traction sutures are […]

Binding pancreatogastrostomy

An incision is made in de seromuscular layer of the posterior gastric wall, with a size comparable to the diameter of the pancreatic stump. Around the seromuscular incision, a purse-string suture is placed. The mucosal layer of […]

Two-layered technique

A gastrotomy with a size similar to the diameter of the pancreatic remnant is made in the posterior gastric wall. The pancreatic stump is inserted into the gastric lumen through the posterior gastrotomy. An outer suture-row is […]

One-layered technique

A vertical incision with a size slightly less than the diameter of the pancreatic stump is made in the posterior wall of the stomach. Two traction sutures are placed on the superior and inferior sides of the pancreas. […]