Thursday, November 6, 2014

Pancreatico-jejunostomy


Pancreato-Jejunostomy
Objective
In case of:
•   Chronic pancreatitis with a dilated pancreatic duct
•   An anastomosis of jejunumotomy to pancreatic duct.
Position
Supine.
Anesthesia
General.
Incision
Midline.
Procedure
1.  Expose anterior surface of pancreas through the lesser sac.
2.  Mobilize pancreas.
3.  Identify pancreatic duct and cut it along the length of the pancreas.
4.  Carry out a lateral pancreaticojejunal anastomosis (Roux-en-Y) in two layers using nonabsorbable suture.
5.  Close wound in layer with drainage.
Instruments
•   General set, 1
•   Gastrointestinal set, 1
•   Deep set, 1.

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