Published in:
Open Access
01-12-2022 | Laparoscopy | Research
Application of purse string suture pancreaticojejunostomy for undilated pancreatic duct in total laparoscopic pancreaticoduodenectomy
Authors:
Haihua Zhou, Shian Yu, Xiaokang Wu, Xuemin Li
Published in:
BMC Surgery
|
Issue 1/2022
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Abstract
Background
To investigate the feasibility of purse string suture pancreaticojejunostomy in complete laparoscopic pancreaticoduodenectomy for patients with an undilated pancreatic duct.
Methods
We retrospectively reviewed a database of 113 patients with undilated pancreatic ducts who had undergone laparoscopic pancreaticoduodenectomy (LPD) with purse string suture pancreaticojejunostomy to analyze the perioperative outcomes.
Results
One hundred thirteen patients underwent successful LPD. The surgery time was 353 ± 41 min, the time required for pancreaticojejunostomy was 27 ± 5 min, and the hospital stay after surgery was 16 ± 8 days. Fifteen patients suffered postoperative complications, including twelve patients with pancreatic fistula, one with bile leakage, one with gastroparesis (complicated with abdominal infection), and one with abdominal bleeding. No perioperative death occurred.
Conclusions
Purse string suture pancreaticojejunostomy is safe and feasible for patients with an undilated pancreatic duct.