Application of single-layer with full thickness of duct-to-mucosa pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy
10.3760/cma.j.cn115667-20230226-00027
- VernacularTitle:单全层胰管对空肠黏膜吻合在腹腔镜胰十二指肠切除术中的应用
- Author:
Chengxu DU
1
;
Dongrui LI
;
Weihong ZHAO
;
Wei HE
;
Minghao SU
;
Xueqiang YA
;
Wenbin WANG
Author Information
1. 河北医科大学第二医院肝胆胰腺外科，石家庄 050004
- Keywords:
Laparoscopes;
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Pancreatic fistula
- From:
Chinese Journal of Pancreatology
2023;23(4):258-264
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical efficacy and safety of single-layer with full thickness of duct-to-mucosa pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy.Methods:The clinical data of 45 patients who underwent laparoscopic pancreaticoduodenectomy with the procedures of single-layer with full thickness in Second Hospital of Hebei Medical University from Jan 2020 to Jan 2022 were retrospectively collected and compared with 45 matched patients with traditional two-layer pancreaticojejunostomy.Results:The laparoscopic pancreaticoduodenectomy procedures were successfully performed in all the 90 cases. The mean operation time (285.6±92.4 minutes) and the media pancreaticojejunostomy time 20(15, 35) minutes) of the single-layer with full thickness pancreaticojejunostomy group were shorter than those of the two-layer pancreaticojejunostomy group [the mean operation time: 317.0±85.5 minutes, the media pancreaticojejunostomy time: 46(30, 58) minutes] with significantly statistical differences (all P value<0.05). There were no significantly statistical differences on intraoperative blood loss, the postoperative complications or hospital stay between the two groups. Conclusions:Compared with traditional pancreaticojejunostomy, the single-layer with full thickness of duct-to-mucosa pancreaticojejunostomy is simple and safe, which has the advantage of easy manipulation and less time-consuming and can be recommended for laparoscopic procedures.
