BACKGROUND: Pancreatic fistula is a leading cause of morbidity and mortality after pancreaticoduodenectomy. We designed a modified technique, by which the pancreatic stump was invaginated into the jejunal loop by purse-string suture. METHODS: From June 2008, 18 cases of patients were performed with this modified technique, and the morbidity and mortality were calculated. RESULTS: All cases recovered well from pancreaticoduodenectomy, and none of them occurred pancreatic fistula. The complications included: hemorrhage, wound infection, pulmonary infection, and ascite. CONCLUSIONS: Invagination anatomosis by purse-string suture could be performed safely and reduced the leakage rate of pancreaticojejunostomy.
BACKGROUND:Pancreatic fistula is a leading cause of morbidity and mortality after pancreaticoduodenectomy. We designed a modified technique, by which the pancreatic stump was invaginated into the jejunal loop by purse-string suture. METHODS: From June 2008, 18 cases of patients were performed with this modified technique, and the morbidity and mortality were calculated. RESULTS: All cases recovered well from pancreaticoduodenectomy, and none of them occurred pancreatic fistula. The complications included: hemorrhage, wound infection, pulmonary infection, and ascite. CONCLUSIONS: Invagination anatomosis by purse-string suture could be performed safely and reduced the leakage rate of pancreaticojejunostomy.