Application of "Papillary-Like Main Pancreatic Duct Invaginated" Pancreaticojejunostomy for Normal Soft Pancreas Cases

作者：Zhang, Bo; Xu, Jin; Liu, Chen; Long, Jiang; Liu, Liang; Xu, Yongfeng; Wu, Chuntao; Luo, Guopei; Ni, Quanxing; Li, Min; Yu, Xianjun^*

来源：Scientific Reports, 2013, 3(1): 2068.

DOI：10.1038/srep02068

• PROSPECTIVE RANDOMIZED-TRIAL
• INTERNATIONAL STUDY-GROUP
• TO-MUCOSA
• PANCREATICODUODENECTOMY
• ANASTOMOSIS
• FISTULA
• LEAKAGE
• PANCREATICOGASTROSTOMY
• PANCREATOJEJUNOSTOMY
• RECONSTRUCTION

Pancreaticojejunostomy is the key procedure of pancreaticoduodenectomy. Our study introduced a new pancreaticojejunal (PJ) anastomosis named "papillary-like main pancreatic duct invaginated" pancreaticojejunostomy. Nighty-two patients underwent pancreaticojejunostomy with either conventional duct-to-mucosa pancreaticojejunostomy or the new "papillary-like main pancreatic duct invaginated" techniques were analyzed retrospectively from January 2010 to September 2012. The incidence of pancreatic fistula was 15.7% (8/51) for the "papillary-like main pancreatic duct invaginated" group and 19.5% (8/41) for the duct-to-mucosa fashion respectively. It is noteworthy that the rate of grade B/C postoperative pancreatic fistula (POPF) in the "papillary-like main pancreatic duct invaginated" group was significantly lower than that of the duct-to-mucosa group (P = 0.039). There were no differences in the incidence of postoperative morbidity and mortality such as postoperative hemorrhage, delayed gastric emptying or remnant pancreatitis. The "papillary-like main pancreatic duct invaginated" pancreaticojejunostomy could provide a feasible option to pancreatic surgeons for patients with normal soft pancreas.

• 出版日期2013-6-25
• 单位复旦大学