title: Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy.
abstract: BACKGROUND
  Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic pancreatic resection, laparoscopic pancreaticoduodenectomy still presents major technical difficulties, such as when performing pancreatic-enteric anastomosis.
  
  
  METHODS
  Laparoscopic dunking pancreaticojejunostomy using mattress sutures was performed in 15 consecutive patients with a soft pancreas and a nondilated pancreatic duct between October 2011 and December 2012.
  
  
  RESULTS
  According to the International Study Group on Pancreatic Fistula criteria, 3 patients developed PF (grade A), whereas the remaining 12 patients did not.
  
  
  CONCLUSIONS
  Dunking pancreaticojejunostomy using mattress sutures is considered to be a feasible and safe method for performing pure laparoscopic pancreaticoduodenectomy.
authors: Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba, 260-8717, Japan, acho@chiba-cc.jp.
authors: Akihiro
authors: A
authors: Cho
authors: Hiroshi
authors: H
authors: Yamamoto
authors: Osamu
authors: O
authors: Kainuma
authors: Yorihiko
authors: Y
authors: Muto
authors: Seonjin
authors: S
authors: Park
authors: Hidehito
authors: H
authors: Arimitsu
authors: Mamoru
authors: M
authors: Sato
authors: Hiroaki
authors: H
authors: Souda
authors: Atsushi
authors: A
authors: Ikeda
authors: Yoshihiro
authors: Y
authors: Nabeya
authors: Nobuhiro
authors: N
authors: Takiguchi
authors: Matsuo
authors: M
authors: Nagata
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D001650:Bile Duct Neoplasms / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*; D013536:Suture Techniques
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