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

Chong Zhong Liu1, Jian Kang Zhu1, Qianqian Xu2

  • 1Department of General Surgery, Qilu Hospital of Shan Dong University, NO 107 West Wenhua Road, Jinan, 250012, China.

International Journal of Surgery (London, England)
|June 12, 2018
PubMed

Insights

A new one-layer suture technique for pancreaticojejunostomy (PJ) significantly reduces postoperative pancreatic fistula (POPF) and other complications following pancreaticoduodenectomy (PD). This simple method offers a promising approach for pancreaticoenteric anastomosis.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Postoperative pancreatic fistula (POPF) is a critical complication after pancreaticoduodenectomy (PD), increasing mortality and morbidity.
  • Safe pancreaticojejunostomy (PJ) is essential to mitigate these risks.
  • A novel, fast, and simple one-layer duct-to-mucosa PJ technique was developed.

Purpose of the Study:

  • To evaluate the safety and efficacy of a novel one-layer suture technique for pancreaticojejunostomy (PJ).
  • To assess the impact of this technique on reducing postoperative pancreatic fistula (POPF) and other complications after pancreaticoduodenectomy (PD).

Main Methods:

  • Retrospective analysis of 81 consecutive pancreaticoduodenectomy (PD) cases.
  • Data collected included perioperative parameters for all PD cases.
  • Focus on cases undergoing the new one-layer PJ technique.

Main Results:

  • Overall morbidity occurred in 17 (21.0%) cases post-PD.
  • Specific complications included 5 (6.1%) POPF (grade A) and 8 (9.8%) delayed gastric emptying.
  • The median operative time for PJ was 7 minutes, with no mortality or relaparotomy observed.

Conclusions:

  • The one-layer PJ technique significantly reduces POPF and other complications after PD.
  • This method is a promising advancement for pancreaticoenteric anastomosis.
  • The technique contributes to safer pancreaticoduodenectomy outcomes.
Abstract

Keywords:
Pancreatic fistulaPancreaticoduodenectomy (PD)Pancreaticojejunostomy (PJ)

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