Retrospective Cohort Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2025; 17(8): 107228
Published online Aug 27, 2025. doi: 10.4240/wjgs.v17.i8.107228
Binding and interlocking pancreaticojejunostomy vs duct to mucosa pancreaticojejunostomy: A retrospective cohort study
Xi Chen, Chong-Yu Wang, Rui-Biao Fu, Zi-Yu Liu, Meng-Qiu Yin, Jin-Hui Zhu
Xi Chen, Chong-Yu Wang, Zi-Yu Liu, Meng-Qiu Yin, Jin-Hui Zhu, Department of General Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Rui-Biao Fu, Department of Hepatobiliary, Pancreatic and Spleen Surgery, The People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530000, Guangxi Zhuang Autonomous Region, China
Co-first authors: Xi Chen and Chong-Yu Wang.
Author contributions: Chen X, Fu RB, and Zhu JH designed the study; Chen X and Wang CY contributed to data analysis, data interpretation, manuscript drafting, and contributed equally to this work as co-first authors; Fu RB, Liu ZY and Yin MQ contributed to data acquisition. All authors have read and approved the final version of the manuscript.
Supported by National Natural Science Foundation of China, No. 82272634 and No. 62233016.
Institutional review board statement: This study was approved by the Ethics Committee of The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 20231060, and conducted in accordance with the Declaration of Helsinki.
Informed consent statement: Written informed consent was obtained from all participants.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: There is no additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Hui Zhu, PhD, Professor, Department of General Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China. 2512016@zju.edu.cn
Received: March 26, 2025
Revised: April 15, 2025
Accepted: June 27, 2025
Published online: August 27, 2025
Processing time: 152 Days and 5.9 Hours
Core Tip

Core Tip: This study introduces binding and interlocking pancreaticojejunostomy (BIPJ) as a novel technique for pancreatic surgery, comparing it with traditional duct-to-mucosa pancreaticojejunostomy. BIPJ demonstrated a significantly shorter operative time (median 340 vs 388 minutes, P = 0.004) while maintaining comparable safety profiles, including similar rates of postoperative pancreatic fistula and other complications. The technique’s adaptability to all pancreatic textures and suitability for laparoscopy make it a promising advancement. These findings suggest that BIPJ could enhance surgical efficiency without compromising patient outcomes, warranting further prospective validation.