Complications - Pylorus-preserving pancreaticoduodenectomy (pp Whipple) with T-drain (PPPD) - general and visceral surgery
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Prevention and management of intraoperative complications
1.1 Organ injury
- Stomach: Deserosation possible, but quite rare > oversew
- Bowel: Deserosation possible, but rare > oversew
- Liver: Bleeding or bile leakage rare > electrocauterize, suture the liver
1.2 Vascular injury
- Portal/superior mesenteric vein: Possible during resection > suture, partial resection or end-to-end anastomosis
- Common/left/right hepatic artery: Possible in severe inflammation > patch, partial resection or end-to-end anastomosis
- Injury to the transverse mesocolon with impaired perfusion of the transverse colon: Quite rare > resection of the ischemic bowel segment and end-to-end anastomosis
Avoid intraoperative complications through careful dissection!
Prevention and management of intraoperative complications
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