title: A modified pancreaticojejunostomy: kissing pancreaticojejunostomy.
abstract: Pancreaticoduodenectomy (Whipple procedure) has been the standard treatment for periampullary and pancreatic carcinoma. A leakage or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to prevent the development of pancreatic fistula, we designed a modified pancreaticojejunostomy called Kissing Pancreaticojejunostomy, by which the pancreatic tube was tightly in touch with (kissing) the jejunal mucosa via a tent tube. We have performed this procedure on 71 consecutive patients and only one patient developed pancreatic fistula. It is a safe, simple and efficient technique.
authors.affiliation: Department of Abdominal Surgical Oncology, Zhejiang Cancer Hospital, Hangzhou, China. abdsurg@hotmail.com
authors.forename: Xiang-Dong
authors.initials: XD
authors.lastname: Cheng
authors.forename: Yi-An
authors.initials: YA
authors.lastname: Du
authors.forename: Zhi-Yuan
authors.initials: ZY
authors.lastname: Xu
authors.forename: Ling
authors.initials: L
authors.lastname: Huang
authors.forename: Li-Tao
authors.initials: LT
authors.lastname: Yang
authors.forename: Bing
authors.initials: B
authors.lastname: Wang
authors.forename: Yi-Ming
authors.initials: YM
authors.lastname: Zhou
authors.forename: Peng-Fei
authors.initials: PF
authors.lastname: Yu
authors.forename: Qi-Ming
authors.initials: QM
authors.lastname: Yu
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000601:surgery*; D002681:China; D004379:Duodenal Neoplasms / Q000601:surgery*; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D008297:Male; D010182:Pancreatic Diseases / Q000601:surgery*; D010183:Pancreatic Ducts / Q000601:surgery; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control; D010193:Pancreaticojejunostomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome