title: A modified technique for end-to-side pancreaticojejunostomy by purse-string suture.
abstract: BACKGROUND
  Pancreatic fistula is a leading cause of morbidity and mortality after pancreaticoduodenectomy. We designed a modified technique, by which the pancreatic stump was invaginated into the jejunal loop by purse-string suture.
  
  
  METHODS
  From June 2008, 18 cases of patients were performed with this modified technique, and the morbidity and mortality were calculated.
  
  
  RESULTS
  All cases recovered well from pancreaticoduodenectomy, and none of them occurred pancreatic fistula. The complications included: hemorrhage, wound infection, pulmonary infection, and ascite.
  
  
  CONCLUSIONS
  Invagination anatomosis by purse-string suture could be performed safely and reduced the leakage rate of pancreaticojejunostomy.
authors.affiliation: Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical College, Nanjing, China.
authors.forename: Chunping
authors.initials: C
authors.lastname: Jiang
authors.forename: Meng
authors.initials: M
authors.lastname: Wang
authors.forename: Qingxiang
authors.initials: Q
authors.lastname: Xu
authors.forename: Xingyu
authors.initials: X
authors.lastname: Wu
authors.forename: Decai
authors.initials: D
authors.lastname: Yu
authors.forename: Yitao
authors.initials: Y
authors.lastname: Ding
mesh_terms: D000328:Adult; D000368:Aged; D004067:Digestive System Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000009:adverse effects / Q000379:methods*; D013536:Suture Techniques; D013537:Sutures