Pancreatic duct bind with supporting tube combined with single-needle suture for pancreaticojejunostomy in LPD
10.3760/cma.j.cn113884-20241220-00386
- VernacularTitle:胰管捆扎单针缝合胰肠吻合在LPD中的应用
- Author:
Huicong HUANG
1
;
Jian DUAN
1
;
Jinlan HE
1
;
Zhe QING
1
;
Liming ZHOU
1
;
Yujun FANG
1
;
Wenqi WU
1
Author Information
1. 昆明医科大学第一附属医院普通外科，昆明 650032
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Laparoscopes;
Pancreatic fistula
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(4):278-283
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the practical value of pancreatic duct bind with supporting tube combined with single-needle suture for pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy (LPD).Methods:The clinical data of 65 patients with pancreatic head or periampullary tumors who underwent LPD at the First Affiliated Hospital of Kunming Medical University between January 2021 and June 2024 were retrospectively analysed. Among them, 31 were male and 34 were female, aged (57.7±13.3) years. The patients were divided into two groups based on the method of pancreaticojejunostomy: 22 patients who underwent pancreatic duct bind with supporting tube single-needle suture pancreaticojejunos-tomy were included in the study group, 43 patients who underwent traditional pancreatic duct-to-mucosa pancreaticojejunostomy were included in the control group. The clinical data of the patients, including gender, age, operation time, pancreaticojejunostomy time, and postoperative complications, etc. were recorded.Results:Compared with the control group, the pancreaticojejunostomy time [(25.3±2.4) min vs. (47.0±3.9) min] and operation time [(425.2±52.1) min vs. (453.7±30.8) min] of the study group were both shortened, and the differences were statistically significant (both P<0.05). There was no statistically significant difference in the postoperative complication rate between the study group and the control group [18.2% (4/22) vs. 34.9% (15/43), P=0.161]. The incidence of clinically relevant pancreatic fistula in the study group was lower than that in the control group [4.5% (1/22) vs. 30.2% (13/43)], and the difference was statistically significant ( P=0.024). Conclusion:Pancreatic duct bind with supporting tube combined with single-needle suture pancreaticojejunostomy is safe and effective in LPD. Compared with traditional pancreatic duct-to-mucosa pancreaticojejunostomy, pancreatic duct bind with supporting tube combined with single-needle suture pancreaticojejunostomy has advantages in terms of clinically relevant pancreatic fistula rate, operation time, and pancreaticojejunostomy time.
