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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2015; 7(11): 335-344
Published online Nov 27, 2015. doi: 10.4240/wjgs.v7.i11.335
Published online Nov 27, 2015. doi: 10.4240/wjgs.v7.i11.335
Application of single-layer mucosa-to-mucosa pancreaticojejunal anastomosis in pancreaticoduodenectomy
Bing-Yang Hu, Jian-Jun Leng, Tao Wan, Wen-Zhi Zhang, Department of Hepatobiliary Surgery, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
Author contributions: Hu BY and Zhang WZ contributed equally to this work; Hu BY and Zhang WZ designed the research; Hu BY collected and analyzed the data, and drafted the manuscript; Leng JJ and Wan T contributed to analytical tools; all authors have read and approved the final version to be published.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Wen-Zhi Zhang, MD, PhD, Department of Hepatobiliary Surgery, Chinese People’s Liberation Army General Hospital, No. 28 FuXing Road, Beijing 100853, China. zhangwenzhi301301@163.com
Telephone: +86-10-66938331 Fax: +86-10-68241383
Received: March 15, 2015
Peer-review started: March 15, 2015
First decision: April 13, 2015
Revised: May 31, 2015
Accepted: July 15, 2015
Article in press: August 25, 2015
Published online: November 27, 2015
Peer-review started: March 15, 2015
First decision: April 13, 2015
Revised: May 31, 2015
Accepted: July 15, 2015
Article in press: August 25, 2015
Published online: November 27, 2015
Core Tip
Core tip: Pancreaticoduodenectomy is a complex surgical procedure with a high perioperative complication rate and a high mortality rate, therefore, pancreaticoduodenectomy is considered a dangerous surgery. Pancreaticojejunal anastomosis plays an important role in pancreaticoduodenectomy; its success determines the success of the surgery. In our study, there was a significant difference in the percentage of patients with grades B and C pancreatic fistula between the two groups. Single-layer anastomosis was better than double-layer anastomosis when the pancreatic texture was soft. The use of this method could reduce the rates of postoperative pancreatic fistula, abdominal infection and peritoneal catheterization.