title: Prevention of pancreatic leakage after pancreaticoduodenectomy by modified Child pancreaticojejunostomy.
abstract: BACKGROUND
  Pancreatic leakage after pancreaticoduodenectomy is associated with a morbidity and mortality. Different techniques have been used to make a safe anastomosis to the left pancreatic remnant.
  
  
  METHODS
  We performed "modified Child pancreaticojejunostomy" for 31 patients, by which end-to-end pancreaticojejunal anastomosis was made with a two-layer polypropylene continuous running suture.
  
  
  RESULTS
  In the patients who underwent pancreaticojejunostomy, the average operative time was 14.2 minutes. There was no pancreaticoenterostomy leakage in all patients, and no deaths occurred.
  
  
  CONCLUSIONS
  In pancreaticojejunostomy, pancreatic anastomosis is time-saving and free from complications. Thus it is an improvement of pancreaticojejunostomy.
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China. yangylfmmu@yahoo.com.cn
authors.forename: Yan-Ling
authors.initials: YL
authors.lastname: Yang
authors.forename: Xiao-Ping
authors.initials: XP
authors.lastname: Xu
authors.forename: Guo-Qiang
authors.initials: GQ
authors.lastname: Wu
authors.forename: Shu-Qiang
authors.initials: SQ
authors.lastname: Yue
authors.forename: Ke-Feng
authors.initials: KF
authors.lastname: Dou
mesh_terms: D001650:Bile Duct Neoplasms / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000601:surgery*; D006801:Humans; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000009:adverse effects / Q000379:methods*; D011126:Polypropylenes; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes