Premium
A modified technique for end‐to‐side pancreaticojejunostomy by purse‐string suture
Author(s) -
Jiang Chunping,
Wang Meng,
Xu Qingxiang,
Wu Xingyu,
Yu Decai,
Ding Yitao
Publication year - 2011
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21978
Subject(s) - medicine , pancreaticoduodenectomy , pancreatic fistula , invagination , surgery , fibrous joint , fistula , anastomosis , resection , pancreas
Backgroud 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 occured 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. J. Surg. Oncol. 2011; 104:852–856. © 2011 Wiley Periodicals, Inc.