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  • Title: A modified pancreaticojejunostomy: kissing pancreaticojejunostomy.
    Author: Cheng XD, Du YA, Xu ZY, Huang L, Yang LT, Wang B, Zhou YM, Yu PF, Yu QM.
    Journal: Hepatogastroenterology; 2012; 59(113):289-91. PubMed ID: 21940363.
    Abstract:
    Pancreaticoduodenectomy (Whipple procedure) has been the standard treatment for periampullary and pancreatic carcinoma. A leakage or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to prevent the development of pancreatic fistula, we designed a modified pancreaticojejunostomy called Kissing Pancreaticojejunostomy, by which the pancreatic tube was tightly in touch with (kissing) the jejunal mucosa via a tent tube. We have performed this procedure on 71 consecutive patients and only one patient developed pancreatic fistula. It is a safe, simple and efficient technique.
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