Validation of two-stage pancreatojejunostomy after pancreatoduodenectomy for patients with a soft pancreatic texture and assessment of the remnant pancreas texture before second surgery
Ryosuke Hatta, Yoichi Ishizaki, Jiro Yoshimoto, Kenji Takamori · 2026
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Description
Ryosuke Hatta and three co-authors report results of a two-step pancreas operation in a 2026 study. Removing the head of the pancreas is major surgery, and leaks from the join to the bowel are its most feared complication. A soft pancreas leaks most easily, so for those patients the join can be delayed.
In the first operation, 131 patients had the pancreas head removed and a drainage tube placed, with no join made. Three months later, 127 of them returned for the join. No patient in either stage suffered the most severe grade of leak, and deaths tied to leaks were zero. Scans and surgeons' hands agreed that the leftover pancreas had firmed up over the wait. The authors say the staged plan trades a second operation for a much safer join in soft-pancreas cases.
Catalog record
| CREATOR | Ryosuke Hatta, Yoichi Ishizaki, Jiro Yoshimoto, Kenji Takamori |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 33 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |