Wei JP, Tai S, Su ZL. One-half layer pancreaticojejunostomy with the rear wall of the pancreas reinforced: A valuable anastomosis technique. World J Clin Cases 2022; 10(26): 9276-9284 [PMID: 36159416 DOI: 10.12998/wjcc.v10.i26.9276]
Corresponding Author of This Article
Sheng Tai, MD, PhD, Chief Doctor, Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Harbin Medical University, No. 46 Xuefu Road, Nangang, Harbin 150086, Heilongjiang Province, China. taisheng1973@yeah.net
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 16, 2022; 10(26): 9276-9284 Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9276
One-half layer pancreaticojejunostomy with the rear wall of the pancreas reinforced: A valuable anastomosis technique
Jin-Ping Wei, Sheng Tai, Zhi-Lei Su
Jin-Ping Wei, Department of General Surgery, Beijing Chuiyangliu Hospital, Beijing 100022, China
Sheng Tai, Zhi-Lei Su, Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Author contributions: Wei JP and Tai S contributed equally to this work; Tai S designed the research study; Wei JP, Tai S, and Su ZL performed the research; Wei JP and Su ZL contributed new reagents and analytic tools; Wei JP analyzed the data and wrote the manuscript; and all authors have read and approved the final manuscript.
Supported bythe Jie-Ping Wu Foundation for Clinical Scientific Research, No. 320.6750.1245.
Institutional review board statement: The study was approved by the Medical Ethics Committee of Harbin Medical University (No. HMUIRB20160006).
Informed consent statement: All patients or their next of kin provided informed consent for surgery.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No other data available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sheng Tai, MD, PhD, Chief Doctor, Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Harbin Medical University, No. 46 Xuefu Road, Nangang, Harbin 150086, Heilongjiang Province, China. taisheng1973@yeah.net
Received: December 25, 2021 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
ARTICLE HIGHLIGHTS
Research background
To effectively reduce the incidence of postoperative pancreatic fistula (POPF), we designed a new type of pancreaticojejunostomy (PJ).
Research motivation
To effectively reduce the incidence of POPF.
Research objectives
This study was to explore the clinical application value of this new technique.
Research methods
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.
Research results
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.
Research conclusions
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.
Research perspectives
This method may be a promising technique for PJ after pancreaticoduodenectomy.
