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Document Type

Original Article

Abstract

Background: Surgery is the primary mode for treatment of pancreatic cancer. Surgical options include Whipple surgery (pancreaticoduodenectomy) with or without pylorus preservation. The Whipple surgery, also known as a pancreaticoduodenectomy, is a significant operation used to remove malignancies from the periampullary region and the pancreatic head. Aim: To assess two techniques of pancreatic duct anastomosis after Whipple pancreaticoduodenectomy and compare these techniques as regard operative procedure and postoperative complications. Subject and Methods: Thirty patients at Al-Azhar University Hospitals with pancreatic or periampullary lesions requiring Whipple pancreaticoduodenectomy were analyzed in this research. Results: there was no statistically significant difference among our study population regarding demographic, Operative and postoperative data in addition there was no statistically significant difference among our study population regarding Postoperative complications. Conclusion: In conclusion, both the Duct-to-mucosa and Invagination PJ methods of pancreatic duct anastomosis following Whipple pancreaticoduodenectomy were shown to be safe and successful. Duct-to-mucosa Associating PJ with slightly longer Anastomosis time in comparison to Invagination PJ. roux-en-y hepaticojejunostomy has less post operative pancreatic and biliary leakage as compared to conventional whipple single loop anastomosis.

Keywords

Whipple Procedure; Pancreatic Duct; Cancer of the Pancreas

Subject Area

General Surgery

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