Pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction for benign pancreatic diseases

Core Tip

Core tip: In most cases, digestive tract reconstruction is essential for pancreatic trauma and severe pancreatitis as well as malignant pancreatic lesions. Digestive tract reconstruction used for neoplastic diseases of the pancreas is not applicable in benign pancreatic diseases due to an integrated stomach and duodenum in these patients. In benign pancreatic diseases, the aforementioned reconstruction methods increase not only the distance between the pancreaticojejunostomy and choledochojejunostomy, but also the risks of traction, twisting and angularity of the jejunal loop. Furthermore, postoperative complications such as mixed fistula are refractory and life-threatening. Therefore, we introduced a novel pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction in two cases of benign pancreatic diseases in order to reduce the risk of postoperative complications. This type of reconstruction may be an alternative treatment modality for benign pancreatic diseases.