A modified technique for end-to-side pancreaticojejunostomy by purse-string suture
Chunping Jiang1, Meng Wang, Qingxiang Xu
1Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical College, Nanjing, China.
Background:
Pancreatic fistula is a leading cause of morbidity and mortality after pancreaticoduodenectomy. We designed a modified technique, by which the pancreatic stump was invaginated into the jejunal loop by purse-string suture.
Methods:
From June 2008, 18 cases of patients were performed with this modified technique, and the morbidity and mortality were calculated.
Results:
All cases recovered well from pancreaticoduodenectomy, and none of them occurred pancreatic fistula. The complications included: hemorrhage, wound infection, pulmonary infection, and ascite.
Conclusions:
Invagination anatomosis by purse-string suture could be performed safely and reduced the leakage rate of pancreaticojejunostomy.
