• Chong Zhong Liu, Jian Kang Zhu, Qianqian Xu, Feng Yue Liu, Ya Dong Wang, and Min Zhu.
• Department of General Surgery, Qilu Hospital of Shan Dong University, NO 107 West Wenhua Road, Jinan, 250012, China. Electronic address: lczk1980@163.com.
• Int J Surg. 2018 Aug 1; 56: 68-72.

BackgroundPostoperative pancreatic fistula (POPF) is the most common critical complication after pancreaticoduodenectomy (PD) and a primary reason for increased mortality and morbidity after PD. To perform a safe pancreaticojejunostomy (PJ), a fast and simple technique of duct-to-mucosa PJ with one-layer suture was devised at our institution.Materials And MethodsWe conducted a retrospective analysis of 81 successive cases of PD performed at our hospital from March 2012 to August 2016. Data of perioperative parameters were collected for all PD cases.ResultsA total of 17 (21.0%) cases of morbidity occurred after PD, including 5 (6.1%) cases of POPF (grade A), 8 (9.8%) cases of delayed gastric emptying, 1 (1.2%) case of abdominal infection, and 3 (3.7%) cases of incision infection. The median operative time for the PJ was 7 min. No mortality or relaparotomy was observed.ConclusionOur technique could significantly reduce the incidence of POPF and other complications after PD and may be a promising technique for pancreaticoenteric anastomosis.Copyright © 2018 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

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