Order of anastomosis in Whipple’s procedure:
Correct Answer: Pancreaticojejunostomy, hepaticojejunostomy, gastrojejunostomy
Description: Tumor position Procedure Head (malignant) Pylorus preserving Whipple's procedure Head (benign) Enucleation Body & Tail Distal pancreatectomy. Whipple's procedure: Pancreaticojejunostomy, Hepaticojejunostomy Gastrojejunostomy Pylorus preserving Whipple's procedure: Pancreaticojejunostomy, Hepaticojejunostomy, Gastrojejunostomy, Duodenojejunostomy. Maxium risk of leak occurs from Pancreaticojejunostomy > Gastrojejunostomy > Hepaticojejunostomy.
Category:
Surgery
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