Anastomosentechniken in der Pankreaschirurgie

Die Pankreasanastomose ist von jeher die „Achillesferse“ der Pankreaschirurgie. Daraus ergeben sich die im Beitrag beschriebenen Prinzipien für Pankreasanastomosen. Mit Ausnahme einiger Maßnahmen zum Pankreasstumpfverschluss bei Pankreaslinksresektion zeigt sich jedoch aktuell leider keine Anastomosentechnik oder adjunkte Methode eindeutig überlegen im Hinblick auf die Rate postoperativer Pankreasfisteln.

Schlüsselwörter

Pankreatojejunostomie - Pankreatikojejunostomie - Anastomoseninsuffizienz - Pankreasfistel - Pankreaskarzinom

• Literatur

• 1 Howard JM, Hess W. History of the Pancreas: Mysteries of a hidden Organ. Berlin: Springer; 2012
• 2 Kausch W. Das Carcinom der Papilla Duodeni und seine radikale Entfernung. Beitr Z Clin Chir 1912; 78: 439-486
• 3 Nahm CB, Connor SJ, Samra JS. et al. Postoperative pancreatic fistula: a review of traditional and emerging concepts. Clin Exp Gastroenterol 2018; 11: 105-118
• 4 Bassi C, Marchegiani G, Dervenis C. et al. Sarr M et al.; International Study Group on Pancreatic Surgery (ISGPS). The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After. Surgery 2017; 161 (03) 584-591
• 5 Howard JM. History of pancreatic head resection – the evaluation of surgical technique. Am J Surg 2007; 194 (04) S6-S10
• 6 Fingerhut A, Vassiliu P, Dervenis C. et al. What is in a word: Pancreatoduodenectomy or pancreaticoduodenectomy?. Surgery 2007; 142 (03) 428-429
• 7 Shukla PJ, Barreto SG, Fingerhut A. et al. Toward improving uniformity and standardization in the reporting of pancreatic anastomoses: a new classification system by the International Study Group of Pancreatic Surgery (ISGPS). Surgery 2010; 147 (01) 144-153
• 8 Child CG. Carcinoma of duodenum: one-stage radical pancreaticoduodenectomy, preserving the external pancreatic secretion. Ann Surg 1943; 118 (05) 838-842
• 9 Horsley JS, Shelton Horsley J. Resection of the duodenum for tumor of the ampulla of Vater. Ann Surg 1941; 113 (05) 802-809
• 10 Hunt VC. Surgical management of carcinoma of the ampulla of vater and of the periampullary portion of the duodenum. Ann Surg 1941; 114 (04) 570-602
• 11 Kakita A, Yoshida M, Takahashi T. History of pancreaticojejunostomy in pancreaticoduodenectomy: development of a more reliable anastomosis technique. J Hepatobiliary Pancreat Surg 2001; 8 (03) 230-237
• 12 Binkley JS. Telescopic pancreaticojejunostomy. Cancer 1951; 4 (02) 226-232
• 13 Peng S, Mou Y, Cai X, Peng C. Binding pancreaticojejunostomy is a new technique to minimize leakage. Am J Surg 2002; 183 (03) 283-285
• 14 Peng SY, Wang JW, Lau WY. et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy: a prospective randomized trial. Ann Surg 2007; 245 (05) 692-698
• 15 Orr TG. Resection of duodenum and head of pancreas for carcinoma of the ampulla. Surg Gynecol Obstet 1941; 73: 240-243
• 16 Aston SJ, Longmire Jr. WP. Management of the pancreas after pancreaticoduodenectomy. Ann Surg 1974; 179 (03) 322-327
• 17 Barreto SG, Shukla PJ. Different types of pancreatico-enteric anastomosis. Transl Gastroenterol Hepatol 2017; 2: 89
• 18 Cattell RB. A Technic for Pancreatoduodenal Resection. Surg Clin North Am 1948; 28 (03) 761-775
• 19 Brennan M. Pancreaticojejunostomy. Surgery of the Liver and biliary Tract. 3rd edn.. Philadelphia: Saunders; 2000: 1073-1089
• 20 Waugh JM, Clagett OT. Resection of the duodenum and head of the pancreas for carcinoma; an analysis of thirty cases. Surgery 1946; 20: 224-232
• 21 Wellner UF, Sick O, Olschewski M. et al. Randomized controlled single-center trial comparing pancreatogastrostomy versus pancreaticojejunostomy after partial pancreatoduodenectomy. J Gastrointest Surg 2012; 16 (09) 1686-1695
• 22 Telford GL, Ormsbee HS, Mason GR. Pancreaticogastrostomy improved by a pancreatic duct-to-gastric mucosa anastomosis. Curr Surg 1980; 37 (02) 140-142
• 23 Wang X-A, Liu Y-B, Peng S-Y. Binding pancreaticogastrostomy. In: Liu Y-B. ed. Surgical Atlas of pancreatic cancer. Singapore: Springer; 2020: 233-239
• 24 Uemura K, Satoi S, Motoi F. et al. Randomized clinical trial of duct-to-mucosa pancreaticogastrostomy versus handsewn closure after distal pancreatectomy. Br J Surg 2017; 104 (05) 536-543
• 25 Telford GL, Mason GR. Improved technique for pancreaticogastrostomy after pancreaticoduodenectomy. Am J Surg 1981; 142 (03) 386-387
• 26 Fernández-Cruz L, Cosa R, Blanco L. et al. Pancreatogastrostomy with gastric partition after pylorus-preserving pancreatoduodenectomy versus conventional pancreatojejunostomy: a prospective randomized study. Ann Surg 2008; 248 (06) 930-938
• 27 Ohigashi H, Ishikawa O, Eguchi H. et al. A simple and safe anastomosis in pancreaticogastrostomy using mattress sutures. Am J Surg 2008; 196 (01) 130-134
• 28 Howard JM, Hess W. Treatment of pancreatic and ampullary Cancer. In: Howard JM, Hess W. eds. History of the Pancreas: Mysteries of a hidden Organ. Boston, MA: Springer; 2002: 519-591
• 29 Probst P, Hüttner FJ, Meydan Ö. et al. Evidence map of pancreatic surgery: protocol for a living systematic review and meta-analysis. BMJ Open 2019; 9 (09) e032353
• 30 Keck T, Wellner UF, Bahra M. et al. Pancreatogastrostomy Versus Pancreatojejunostomy for RECOnstruction After PANCreatoduodenectomy (RECOPANC, DRKS00000767): Perioperative and Long-term Results of a Multicenter Randomized Controlled Trial. Ann Surg 2016; 263 (03) 440-449
• 31 Buc E, Flamein R, Golffier C. et al. Pengʼs binding pancreaticojejunostomy after pancreaticoduodenectomy: a French prospective study. J Gastrointest Surg 2010; 14 (04) 705-710
• 32 Casadei R, Ricci C, Silvestri S. et al. Pengʼs binding pancreaticojejunostomy after pancreaticoduodenectomy. An Italian, prospective, dual-institution study. Pancreatology 2013; 13 (03) 305-309
• 33 Tieftrunk E, Demir IE, Schorn S. et al. Pancreatic stump closure techniques and pancreatic fistula formation after distal pancreatectomy: Meta-analysis and single-center experience. PLoS One 2018; 13 (06) e0197553
• 34 Malleo G, Vollmer Jr. CM. Postpancreatectomy Complications and Management. Surg Clin North Am 2016; 96 (06) 1313-1336
• 35 Lin Y-M, Lin EY, Tseng H-S. et al. Preventive covered stent placement at the gastroduodenal artery stump in angiogram-negative sentinel hemorrhage after pancreaticoduodenectomy. Abdom Radiol (NY) 2021; (publication ahead of print)
• 36 Laaninen M, Sand J, Nordback I. et al. Perioperative Hydrocortisone Reduces Major Complications After Pancreaticoduodenectomy: A Randomized Controlled Trial. Ann Surg 2016; 264 (05) 696-702
• 37 Antila A, Siiki A, Sand J. et al. Perioperative hydrocortisone treatment reduces postoperative pancreatic fistula rate after open distal pancreatectomy. A randomized placebo-controlled trial. Pancreatology 2019; 19 (05) 786-792