Postoperative serum albumin level is an independent risk factor for discontinuation of adjuvant chemotherapy for pancreatic cancer

Abstract

section(indirect PPJ; see picture 5). In the outer-layer reinforced stitch seromuscular layer of the jejunum was sutured with the pancreas envelope or peripancreatic connective tissue interruptedly. Results: The time of PPJ was from eight minutes to eighteen minutes(average ten minutes). None presented C grade postoperative pancreatic fistula according to ISGPF. Ten cases presented A grade postoperative pancreatic fistula. Four cases presented B grade pancreatic fistula. The cases with A or B grade postoperative pancreatic fistula had nothing to do with pancreatic anastomotic failure through the radiography (see picture 6). No case was postoperative dead. There was neither pancreatic anastomotic haemorrhage nor reoperation. No case showed obvious expansion of pancreatic duct in twenty-eight cases during postoperative following up for three months. Conclusions: The design idea of PPJ is that the pancreas stump should be anastomosed to the jejunum in a way as a parenchymal organ rather than a hollow organ. This anastomosis is time-saving and easy to grasp. It is clear that PPJ is the simplest and a reliable pancreaticojejunostomy to today.