Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9276
Peer-review started: December 25, 2021
First decision: March 12, 2022
Revised: March 26, 2022
Accepted: August 5, 2022
Article in press: August 5, 2022
Published online: September 16, 2022
To effectively reduce the incidence of postoperative pancreatic fistula (POPF), we designed a new type of pancreaticojejunostomy (PJ).
To effectively reduce the incidence of POPF.
This study was to explore the clinical application value of this new technique.
In this study, we retrospectively analyzed 62 patients who received either the traditional duct-to-mucosa anastomoses or one-half layer PJ with the rear wall of the pancreas reinforced method at our hospital from May 2015 to September 2019. They were classified into two groups. We analyzed the basic information, perioperative outcomes, and surgical results of the patients.
In terms of postoperative complications, the one-half layer PJ group had a lower rate of POPF than the traditional group. The overall number of cases with POPF was 8 (24.2%) in the traditional group and 2 (6.9%) in the one-half layer group (P = 0.017). Additionally, the rate of grades B and C POPF was lower in the one-half layer group (3.4%) compared with that (12.1%) in the traditional group (P = 0.010). One patient died due to hemorrhage caused by severe pancreatic fistula in the traditional group.
One-half layer PJ with the rear wall of the pancreas reinforced is a safe and feasible procedure that can successfully reduce the rate of POPF.
This method may be a promising technique for PJ after pancreaticoduodenectomy.