Karagul Servet, Kayaalp Cuneyt, Sumer Fatih, Yagci Mehmet Ali
Department of Surgery, Inonu University, Malatya, Turkey.
J Minim Access Surg. 2018 Jan-Mar;14(1):76-78. doi: 10.4103/0972-9941.220357.
While the 'best pancreatic anastomosis technique' debate is going during Whipple procedure, the laparoscopic pancreaticoduodenectomy lately began to appear more and more often in the medical literature. All the popular anastomosis techniques used in open pancreas surgery are being experienced in laparoscopic pancreaticoduodenectomy. However, when they were adapted to laparoscopy, their implementation was not technically easy, and assistance of robotic surgery was sometimes required at the pancreatic anastomosis stage of the procedure. Feasibility and simplicity of a new technique have a vital role in its adaptation to laparoscopic surgery. We frequently use the extra-mucosal single row handsewn anastomosis method in open and laparoscopic surgery of the stomach, small and large bowel and we found it easy and reliable. Here, we defined the adaptation of this technique to the laparoscopic pancreas anastomosis. The outcomes were not inferior to the other previously described techniques and it has the advantage of simplicity.
在胰十二指肠切除术期间关于“最佳胰腺吻合技术”的争论仍在继续时，腹腔镜胰十二指肠切除术最近在医学文献中越来越频繁地出现。开放胰腺手术中使用的所有常见吻合技术都在腹腔镜胰十二指肠切除术中得到应用。然而，当将这些技术应用于腹腔镜手术时，其实施在技术上并不容易，并且在该手术的胰腺吻合阶段有时需要机器人手术的辅助。一种新技术的可行性和简便性在其适应腹腔镜手术方面起着至关重要的作用。我们在胃、小肠和大肠的开放及腹腔镜手术中经常使用黏膜外单排手工缝合吻合术，并且发现它简便可靠。在此，我们阐述了该技术在腹腔镜胰腺吻合术中的应用。其结果并不逊色于先前描述的其他技术，并且具有操作简便的优点。
