Experiences in use of kissing pancreatojejunostomy in 267 cases of pancreatoduodenectomy
10.3760/cma.j.cn113855-20210712-00423
- VernacularTitle:Kissing式胰肠吻合术在267例胰十二指肠切除术中的应用
- Author:
Jia WU
1
;
Xiangdong CHENG
;
Yuhua ZHANG
;
Yian DU
;
Zhiyuan XU
;
Litao YANG
;
Fang HAN
Author Information
1. 中国科学院大学附属肿瘤医院（浙江省肿瘤医院）肝胆胰外科，杭州 310022
- Keywords:
Pancreatojejunostomy;
Anastomosis, surgical;
Postoperative pancreatic fistula
- From:
Chinese Journal of General Surgery
2022;37(5):344-347
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate feasibility, efficiency and safety of kissing pancreatojejunostomy after pancreatoduodenectomy.Methods:From Jan 2006 to Sep 2020, the clinical data of 267 patients undergoing pancreatoduodenectomy and kissing pancreatojejunostomy were retrospectively analyzed.Results:Grade B postoperative pancreatic fistula (POPF) occurred in 6.37%, Grade C POPF in 2.25% of patients. There was no mortality within 30 days postoperatively as to pancreatic fistula, by cut-off of pancreatic duct diameter at 3mm, there was no significant difference between two subgroups (15/140 vs. 8/127, P=0.20). also, when grouped by texture of the pancreas, no there was significant difference (20/194 vs. 3/73, P=0.11). Conclusions:Kissing pancreatojejunostomy is feasible and easy to perform. It also does not increase the POPF rate when applied to the pancreatojejunostomy with thin pancreatic duct and soft texture.
