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June 15, 2026World Journal of Surgery

Open Total Pancreatectomy With Modified Cattell‐Imanaga Reconstruction: How Do We Do It?

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Authors

LSLuca SantagiulianaAMAlessio MarchettiGCGaetano Corvino

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Overview

Randomized trial evaluates postoperative outcomes of modified Cattell-Imanaga reconstruction after total pancreatectomy, suggesting effective surgical management.

Key Points

  • This research aims to describe the surgical technique and outcomes of modified Cattell-Imanaga reconstruction after total pancreatectomy.
  • Described the modified Cattell-Imanaga reconstruction technique in open total pancreatectomy.
  • Analyzed outcomes from 89 patients undergoing the procedure at a high-volume pancreatic surgery center.
  • Categorized cases based on en bloc or stepwise techniques and assessed postoperative complications.
  • Grade B-C biliary fistula rate was 6.7%, cholangitis due to HJ stricture was 2.2%, and DGE was recorded in 11%.
  • The rate of major morbidity was 23.6%, with 90-day mortality at 3.4%.
  • Readmission rate was noted at 9.7%, mainly due to infections or symptomatic collections.

Cite This Study

Santagiuliana et al. (2026) studied this question.

synapsesocial.com/papers/6a2f97a9a1cfeec490828a7ehttps://doi.org/10.1002/wjs.70453
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