Application of Chen's pancreaticojejunostomy technique in laparoscopic pancreaticoduodenectomy (116 cases report)

• Published in: Chung-hua wai kʿo tsa chih Vol. 58; no. 2; p. 114
• Main Authors: Yin, X M, Li, Y F, Cheng, W, Liao, C H, Liu, Y, Wu, Y F, Cai, R Y, Zhu, S W, Liu, S, Wu, S, Chen, X P
• Format: Journal Article
• Language: Chinese
• Published: China 01-02-2020
• Subjects: Adult; Aged; Aged, 80 and over; Female; Humans; Laparoscopy; Male; Middle Aged; Neoplasm Recurrence, Local; Pancreatic Fistula - etiology; Pancreatic Neoplasms - surgery; Pancreaticoduodenectomy - methods; Pancreaticojejunostomy - methods; Postoperative Complications; Retrospective Studies; Laparoscopes; Postoperative pancreatic fistula; Pancreaticoduodenectomy; Pancreaticojejunostomy
• ISSN: 0529-5815
• DOI: 10.3760/cma.j.issn.0529-5815.2020.02.008

To investigate the safety and feasibility of longitudinal transpancreatic U-sutures invaginated pancreatojejunostomy (Chen's pancreaticojejunostomy technique) in laparoscopic pancreaticoduodenectomy (LPD).
Clinical data of 116 consecutive patients who underwent LPD using Chen's pancreaticojejunostomy technique in Hunan Provincial People's Hospital from May 2017 to December 2018 were retrospectively analyzed. Among these patients, 66 were males and 50 were females. The median age was 58 years old (32-84 yeas old). All 116 patients underwent pure laparoscopic whipple procedure with Child reconstruction method, using Chen's pancreaticojejunostomy technique. The intraoperative and postoperative data of patients were analyzed.
All 116 patients underwent LPD successfully. The mean operative time was (260.3±33.5) minutes (200-620 minutes). The mean time of pancreaticojejunostomy was (18.2±7.6) minutes (14-35 minutes). The mean time of hepaticojejunostomy was (14.6±6.3) minutes (10-25 minutes). The mean time of gastr