Invaginated Pancreaticojejunostomy (Whipple Reconstruction)

Video Type: CVideo
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Author: Harish Lavu
Published:
Specialties: General Surgery
Schools: Thomas Jefferson University
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Basic Info

Contributor: Charles J Yeo

Overview:The invaginated pancreaticojejunostomy is a method of reconstructing the pancreatic remnant to the intestinal tract during the Whipple operation.

DOI: http://dx.doi.org/10.17797/ouyyb9jyj1

Editor Recruited By: Jeffrey B. Matthews, MD

Advanced

Procedure

Invaginated Pancreaticojejunostomy

Indications

Reconstruction during a Whipple Operation

Contraindications

None

Instrumentation

Setup

Midline laparotomy, Bookwalter Retractor

Preoperative Workup

History, Physical Exam, Labs, CEA, CA-19-9, Cross-sectional imaging (CT, MRI),

Anatomy and Landmarks

Pancreatic neck, pancreatic duct

Advantages/Disadvantages

Larger jejunotomy than the Duct-to-Mucosa technique

Complications/Risks

Pancreatic Fistula, increased risk with soft gland texture

Disclosure of Conflicts

None

Acknowledgements

References

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