Abstract

Background: Invagination is one of the useful reconstruction method for pancreatic enteric anastomosis during pancreatoduodenectomy (PD), but it is unclear what is the best. On the other hand, a safe and easy procedure is needed for the stable outcomes and the safe training for young surgeon. The aim of this study was to evaluate our simplified invagination pancreaticojejunostomy.
Methods: This is a pilot study about a modified technique. Between January 2012 and March 2015, 22 consecutive cases of pancreatoduodenectomy performed with invagination pancreaticojejunostomy were eligible for inclusion. We retrospectively analyzed the operative courses.
Results: The median surgical time was 496 minutes (range 232–755). The median blood loss was 600 ml (range 75–4335). The soft pancreas was nine patients (40.9%). Only one patient developed postoperative pancreatic fistula (Grade B) (4.5%). The median follow-up period was 13 months (range 2–29), and there were no cases of occlusion at the anastomotic site. When comparing inexperienced and skilled surgeons, no statistical significance was observed in the clinical and operative parameters.
Conclusion: Our invagination PJ can be an easy and simple method which carries a low incidence of POPF, and safe for training of young surgeons.