and to achieve a single pancreatic anastomosis, a complete resection of the split segment of the pancreatic body with both anteportal and retroportal parts was carried out in the presented… Click to show full abstract
and to achieve a single pancreatic anastomosis, a complete resection of the split segment of the pancreatic body with both anteportal and retroportal parts was carried out in the presented patient. The right pancreatic resection should be extended about 2–3 cm to ensure a single pancreatic tail for anastomosis (Fig. 2) and can also be used for infrasplenic and complete circumportal pancreata as described by Hamanaka et al. and Hashimoto et al. The operative reconstruction can be performed either as pancreaticojejunostomy or pancreaticogastrostomy. Although the extended right resection requires the sacrifice of minimally more pancreatic parenchyma, we recommend this technique to achieve a single pancreatointestinal anastomosis to potentially lower the risk of post-operative pancreatic fistula in patients with CP.
               
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