One-half layer pancreaticojejunostomy with the rear wall of the pancreas reinforced:A valuable anastomosis technique  

作　　者：Jin-Ping Wei Sheng Tai Zhi-Lei Su 

机构地区：[1]Department of General Surgery,Beijing Chuiyangliu Hospital,Beijing 100022,China [2]Department of Hepatopancreatobiliary Surgery,The Second Affiliated Hospital of Harbin Medical University,Harbin 150086,Heilongjiang Province,China

出　　处：《World Journal of Clinical Cases》2022年第26期9276-9284,共9页世界临床病例杂志

基　　金：Supported by the Jie-Ping Wu Foundation for Clinical Scientific Research,No.320.6750.1245。

摘　　要：BACKGROUND Postoperative pancreatic fistula(POPF)is one of the most common and serious complications after pancreaticoduodenectomy(PD).To effectively reduce the incidence of POPF,we designed a new type of pancreaticojejunostomy(PJ),which was termed one-half layer PJ with the rear wall of the pancreas reinforced.AIM To explore the clinical application value of this new technique.METHODS We compared 62 patients who had undergone PD by either the traditional ductto-mucosa anastomoses or the new one-half layer PJ with the rear wall of the pancreas reinforced method at our hospital from May 2015 to September 2019.All 62 patients were operated by the same surgeon experienced in both procedures.We retrospectively analyzed patient characteristics,perioperative outcomes,and surgical results.RESULTS There was no significant difference between the two groups in basic information except the postoperative hospital stays,14.7±5.4 d in the traditional duct-tomucosa anastomoses group and 12.0±4.2 d in the one-half layer PJ group(P=0.042).In terms of postoperative complications,the one-half layer PJ group had a lower rate of POPF than the traditional group.The overall number of cases with POPF was 8(24.2%)in the traditional group and 2(6.9%)in the one-half layer group(P=0.017).Additionally,the rate of grades B and C POPF was lower in the one-half layer group(3.4%)compared with that(12.1%)in the traditional group(P=0.010).One patient died due to hemorrhage caused by severe pancreatic fistula in the traditional group.CONCLUSION One-half layer PJ with the rear wall of the pancreas reinforced is a safe and feasible procedure that can successfully reduce the rate of POPF.It may be a promising technique for PJ after PD.

关 键 词：PANCREATICODUODENECTOMY PANCREATICOJEJUNOSTOMY Pancreatic fistula One-half layer New technique Postoperative complications 

分 类 号：R657.5[医药卫生—外科学]