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A modified pancreaticojejunostomy anastomotic technique using double U-sutures for laparoscopic pancreaticoduodenectomy

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Abstract

Although recent advances in laparoscopic technology have popularized laparoscopic pancreatoduodenectomy (LPD), laparoscopic pancreaticojejunostomy anastomosis (PJA) still presents a major technical challenge. From February 2021 to January 2023, 42 patients underwent LPD with modified double U-suture PJA. Data on the demographic characteristics and clinical results of these patients were investigated. The median operation time was 316 min (249–596 min). The median PJA time was 32 min (25–40 min). The median intraoperative blood loss was 150 mL (50–500 mL). The median postoperative stay was 12 days (7–30 days). Complications occurred in 10 (23.8%) patients, including two cases (4.8%) of delayed gastric emptying and nine cases (21.4%) of postoperative pancreatic fistula (POPF). One patient presented delayed gastric emptying and POPF. Eight patients (19.0%) experienced biochemical leakage, and one patient (2.4%) had grade B POPF. Laparoscopic double U-suture PJA is a feasible and safe technique for performing LPD.

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Data availability

The data supporting the findings of this study are available from the corresponding author upon request.

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Funding

This work was supported by grant 2022CFB370 from the Natural Science Foundation of Hubei Province.

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Author notes

  1. **aogang Li and Yuan Zhu contributed equally to this work.

Authors and Affiliations

  1. Department of Biliary-Pancreatic Surgery, **angyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, **angyang, 441021, China

    **aogang Li, Yuan Zhu, Huapeng Sun & **aofeng Liao

  2. School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China

    Yuan Zhu

  3. Institute of Oncology, **angyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, **angyang, 441021, China

    **aogang Li, Huapeng Sun & **aofeng Liao

  4. Department of General Surgery, **angyang Central Hospital, Hubei University of Arts and Science, **angyang, 441021, China

    **aofeng Liao

Authors
  1. **aogang Li
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  2. Yuan Zhu
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  3. Huapeng Sun
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  4. **aofeng Liao
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Corresponding author

Correspondence to **aofeng Liao.

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Conflict of interest

Drs. **aogang Li, Yuan Zhu, Huapeng Sun, and **aofeng Liao have no conflicts of interest or financial ties to disclose.

Research involving human participants and/or animals, and Informed consent

The Ethics Committee of **angyang Central Hospital approved this study. Informed consent was not needed from patients because of the retrospective nature of the study. During the research process, we concealed patients’ private information, and patient privacy was protected.

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Li, X., Zhu, Y., Sun, H. et al. A modified pancreaticojejunostomy anastomotic technique using double U-sutures for laparoscopic pancreaticoduodenectomy. Updates Surg (2024). https://doi.org/10.1007/s13304-024-01815-5

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