Application of pancreaticojejunostomy with one-layer suture in pancreaticoduodenectomy: A retrospective cohort study

作者：Liu, Chong Zhong; Zhu, Jian Kang; Xu, Qianqian; Liu, Feng Yue; Wang, Ya Dong; Zhu, Min^*

来源：International Journal of Surgery, 2018, 56: 68-72.

DOI：10.1016/j.ijsu.2018.06.005

• Pancreaticoduodenectomy (PD)
• Pancreatic fistula
• Pancreaticojejunostomy (PJ)

Background: Postoperative pancreatic fistula (POPF) is the most common critical complication after pancreaticoduodenectomy (PD) and a primary reason for increased mortality and morbidity after PD. To perform a safe pancreaticojejunostomy (PJ), a fast and simple technique of duct-to-mucosa PJ with one-layer suture was devised at our institution.
Materials and methods: We conducted a retrospective analysis of 81 successive cases of PD performed at our hospital from March 2012 to August 2016. Data of perioperative parameters were collected for all PD cases.
Results: A total of 17 (21.0%) cases of morbidity occurred after PD, including 5 (6.1%) cases of POPF (grade A), 8 (9.8%) cases of delayed gastric emptying, 1 (1.2%) case of abdominal infection, and 3 (3.7%) cases of incision infection. The median operative time for the PJ was 7 min. No mortality or relaparotomy was observed.
Conclusion: Our technique could significantly reduce the incidence of POPF and other complications after PD and may be a promising technique for pancreaticoenteric anastomosis.

• 出版日期2018-8
• 单位山东大学