Double-stitch full-layer pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy
10.3760/cma.j.cn113855-20190327-00169
- VernacularTitle:双针全层胰肠吻合术在腹腔镜胰十二指肠切除术中的应用
- Author:
Jiayi WU
1
;
Maolin YAN
;
Shi CHEN
;
Dexian XIAO
;
Yannan BAI
;
Yaodong WANG
Author Information
1. 福建医科大学省立临床医学院，福州 350001；福建省立医院肝胆外科，福州 350001
- From:
Chinese Journal of General Surgery
2020;35(5):362-365
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of double-stitch full-layer pancreaticojejunostomy (DSFLPJ) in laparoscopic pancreaticoduodenectomy.Methods:The clinicopathological data of patients who underwent laparoscopic pancreaticoduodenectomy with DSFLPJ from Jan 2016 to Sep 2019 in Fujian Provincial Hospital were retrospectively analyzed.Results:Procedures were successfully performed in 82 patients. The average operation time was (321±55) minutes, among which the mean DSFLPJ time was (22±6) minutes. Intraoperative blood loss was (185±96) ml. Pancreatic fistula occurred in 11 patients, 7 with Grade A, 3 with Grade B and 1 with Grade C. The average postoperative hospital stay was (13±5) days. After the median follow-up of 9 months (1 to 44 months), two patients of pancreatic head cancer suffered recurrence.Conclusions:DSFLPJ is a safe and effective method in laparoscopic pancreaticoduodenectomy.
