Application of monolayer continuous pancreaticojejuna end-to-end suture associated with greater omentum wrapping in pancreaticoduodenectomy

Abstract

Objective To investigate the preventive effect of postoperative pancreatic leakage by monolayer continuous pancreaticojejuna end-to-end suture associated with greater omentum wrapping in pancreaticoduodenectomy.Methods The study included 61 patients who were subjected to a duodenopancreatectomy and pancreaticoenterostomy performed by traditional or the new anastomosis technique.The operating time of pancreaticojejunostomy and postoperative complications including pancreatic fistula were observed.Results In the traditional pancreaticoenterostomy and monolayer continuous pancreaticojejuna endto-end suture,the operating time was (26.0 ± 5.0) and (12.8 ± 1.3) min,the incidence of pancreatic fistula was 12.50％ and 6.89％,and the average length of postoperative hospital stay was (17.3 ± 4.1) and (15.6 ± 3.8) days respectively.There were 2 cases of gastrointestinal bleeding in traditional group.Conclusion The results of this study show that monolayer continuous pancreaticojejuna end-to-end suture associated with greater omentum wrapping procedures has the advantages of being more easily to operate,short operative time,and effectively reducing the morbility of pancreatic fistula. Key words: Pancreaticoenterostomy ; Monolayer continuous suture ; Pancreaticoduodenectomy