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Updated: Mar 25, 2026
Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
[Telescopic technique associated with mucosectomy in pancreaticoduodenectomy]
1Department of Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China.
Objective:
To explore the feasibility of the telescopic technique associated with mucosectomy in preventing pancreatic fistula after pancreaticoduodenectomy (PD).
Methods:
The data of 39 patients who received PD in the Affiliated Hospital of Nantong University was retrospecively analyzed. We developed a safe and simple method of pancreaticojejunostomy in 39 patients, in whom approximately 3 cm of jejunal mucosa was cut to improve the adhesion between the loop and pancreatic parenchyma after end-to-end invagination.
Results:
This procedure was proved to be much more expeditious, and only 2 of 39(5.1%)patients had pancreatic leakages, who were treated with drainage only. No hemorrhage or cholangitis was observed. No postoperative mortality was observed.
Conclusion:
The telescopic technique associated with mucosectomy is an acceptable and safe surgery for pancreaticojejunal anastomosis.
