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  • Title: Effect of a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy: a single surgeon's experiences.
    Author: Kim KH, Lee HJ, Lee YJ, Park KM, Hwang S, Ahn CS, Moon DB, Ha TY, Song GW, Kim DS, Moon KM, Jung DH, Kim BS, Lee SG.
    Journal: Hepatogastroenterology; 2007; 54(77):1368-72. PubMed ID: 17708256.
    Abstract:
    BACKGROUND/AIMS: The aim of the present study is to ascertain the effect of a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy through a single surgeon's experiences. METHODOLOGY: From March 1, 2002 to March 31, 2005, among 512 patients who had pancreaticoduodenectomy at Asan Medical Center, 56 patients who had a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis were selected consecutively for prospective study. RESULTS: There were 44 pylorus-preserving pancreaticoduodenectomy, 10 pancreaticoduodenectomy, 2 hepatopancreaticoduodenectomy. No pancreatic leakage was reported. All three wound infections recovered after conservative treatment, and a gastric ulcer bleeding was resolved by suture-ligation through laparotomy. There was no mortality after surgery. CONCLUSIONS: Although it is a report with low surgical volume, a single layer continuous suture between pancreatic parenchyma and jejunum after duct-to-mucosa anastomosis in pancreaticoduodenectomy is thought to be a good method to prevent the complications of pancreatic leakage using a tight close attachment of pancreas and jejunum.
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