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.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
authors: Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. khkim620@amc.seoul.kr
authors: Ki Hun
authors: KH
authors: Kim
authors: Hyo Jun
authors: HJ
authors: Lee
authors: Young Joo
authors: YJ
authors: Lee
authors: Kwang Min
authors: KM
authors: Park
authors: Shin
authors: S
authors: Hwang
authors: Chul Soo
authors: CS
authors: Ahn
authors: Deok Bog
authors: DB
authors: Moon
authors: Tae Yong
authors: TY
authors: Ha
authors: Gi Won
authors: GW
authors: Song
authors: Dong Sik
authors: DS
authors: Kim
authors: Ki Myung
authors: KM
authors: Moon
authors: Dong Hwan
authors: DH
authors: Jung
authors: Bum Soo
authors: BS
authors: Kim
authors: Sung Gyu
authors: SG
authors: Lee
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010193:Pancreaticojejunostomy / Q000379:methods*; D011446:Prospective Studies; D013536:Suture Techniques