An improvement of pancreaticojejunostomy: double-row and six-suture method pancreaticojejunostomy for pancreaticoduodenectomy

With the rapid development of pancreaticoduodenectomy (PD) surgery, the incidence of postoperative pancreatic fistula (POPF) and surgical complications has been greatly reduced. The occurrence of POPF is closely related to the quality of the pancreatic reconstruction. Pancreaticojejunostomy (PJ) remains a significant technical challenge, and no PJ has yet been widely recognized. From January 2021 to December 2023, 72 patients underwent PD with double-row and six-suture PJ. The clinical characteristics and postoperative outcomes of these patients were analysed. The median operation time was 240 min (180-540 min). The median intraoperative blood loss was 200 ml (50-600 mL). The postoperative hospital stay was 11 days (8-27 days). Eleven patients (15.3%) had a biochemical fistula and five patients (6.9%) had a grade B POPF. No patient had a grade C POPF or died within 90 days after surgery. Double-row and six-suture PJ is a safe and acceptable PJ.