A Modified Technique for End-to-Side Pancreaticojejunostomy by Purse-String Suture

Backgroud: 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 occured 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. J. Surg. Oncol. 2011;104:852-856. (C) 2011 Wiley Periodicals, Inc.