Different techniques of pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy for patients with slim pancreatic ducts
10.3760/cma.j.issn.1007-8118.2019.11.010
- VernacularTitle: 不同胰肠吻合方法在腹腔镜胰十二指肠切除术纤细胰管患者中的应用
- Author:
Xiaoqiang SUN
1
;
Liancai WANG
;
Jiahao MA
;
Qiangqiang XIA
;
Yafeng WANG
;
Senmao MU
;
Deyu LI
Author Information
1. Department of Hepatobiliary and Pancreatic Surgery, People’s Hospital of Zhengzhou University, Zhengzhou 450003, China
- Publication Type:Journal Article
- Keywords:
Pancreaticojejunostomy;
Laparoscopes;
Pancreaticoduodenectomy;
Slim pancreatic duct;
Chen'
s pancreaticojejunostomy;
Pancreatic fistula
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(11):838-841
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the use of different techniques of pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy (LPD) for patients with slim pancreatic ducts.
Methods:The clinical data of 45 patients with slim pancreatic ducts (<3 mm) who underwent LPD in People's Hospital of Zhengzhou University from May 2017 to March 2019 were studied. These patients were divided into 2 groups: Chen's suturing technique (group A, n=31), and the imbedding pancreaticojejunostomy (group B, n=14). The postoperative pancreatic fistula (PF) rates, complication rate, pancreaticojejunostomy time, and length of postoperative hospital stay were compared between the 2 groups.
Results:There was no significant difference in the general data between the two groups (P>0.05). The incidence of postoperative pancreatic fistula in group A (4 cases) was significantly lower than that in group B (6 cases) (12.9% vs. 42.9%, P<0.05). The operation time of pancreaticojejunostomy in group A was significantly shorter than that in group B [(26.5±0.8) min vs. (28.0±2.4) min, P<0.05]. There was no significant difference in the length of postoperative hospital stay between the 2 groups (P>0.05).
Conclusion:Chen's suturing technique was a safe and effective pancreaticojejunostomy technique in LPD carried out in patients with slim pancreatic duct patients.
