Published in:
Open Access
01-12-2023 | Pancreaticojejunostomy | Research
Chen’s penetrating-suture technique for pancreaticojejunostomy following pancreaticoduodenectomy
Authors:
Lihong Zhang, Xuefeng Zhu, Yongsheng Zhu, Jianjun Huang, Lide Tao, Yijun Chen
Published in:
BMC Surgery
|
Issue 1/2023
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Abstract
Background
Postoperative pancreatic fistula (POPF) is the most serious complication and the main reason for morbidity and mortality after pancreaticoduodenectomy (PD). Currently, there exists no flawless pancreaticojejunal anastomosis approach. We presents a new approach called Chen’s penetrating-suture technique for pancreaticojejunostomy (PPJ), which involves end-to-side pancreaticojejunostomy by suture penetrating the full-thickness of the pancreas and jejunum, and evaluates its safety and efficacy.
Methods
To assess this new approach, between May 2006 and July 2018, 193 consecutive patients who accepted the new Chen’s Penetrating-Suture technique after a PD were enrolled in this study. Postoperative morbidity and mortality were evaluated.
Results
All cases recovered well after PD. The median operative time was 256 (range 208–352) min, with a median time of 12 (range 8–25) min for performing pancreaticojejunostomy. Postoperative morbidity was 19.7% (38/193) and mortality was zero. The POPF rate was 4.7% (9/193) for Grade A, 1.0% (2/193) for Grade B, and no Grade C cases and one urinary tract infection.
Conclusion
PPJ is a simple, safe, and reliable technique with ideal postoperative clinical results.