Application of Simplified Duct-to-Mucosa Pancreaticojejunostomy for Nondilated Pancreatic Duct in Laparoscopic Pancreatic Surgery

Objective:The objective of this study was to investigate the feasibility of simplified duct-to-mucosa pancreaticojejunostomy in a nondilated pancreatic duct in laparoscopic surgery. Materials and Methods:The data of 19 patients who underwent laparoscopic pancreaticoduodenectomy (LPD) and 2 patients who underwent laparoscopic central pancreatectomy were retrospectively analyzed. Results:All patients underwent pure laparoscopic surgery successfully with simplified duct-to-mucosa pancreaticojejunostomy. The operation time of LPD was 365.11 +/- 41.56 minutes, the time of pancreaticojejunostomy was 28.39 +/- 12.58 minutes, and postoperative hospitalization time was 14.16 +/- 6.88 days on average. Postoperative complications occurred in 3 patients of LPD, including 2 cases of class B postoperative pancreatic fistula and 1 case of gastroparesis followed by gastrointestinal anastomotic perforation. The operative time of laparoscopic central pancreatectomy was 191.00 +/- 12.73 minutes, the time of pancreaticojejunostomy 36.00 +/- 5.66 minutes, and the postoperative hospitalization time 12.5 +/- 0.71 days on average. Conclusions:The described technique is a simple and safe reconstruction procedure and suitable for patients with nondilated pancreatic duct.