Pancreaticojejunostomy with invagination of spatulated pancreatic stump into a jejunal pouch

Pancreatic fistula after pancreaticoduodenectomy: the impact of a standardized technique of pancreaticojejunostomy

“…The incidence of pancreatic fistula was similar for the PG (12.3%) and PJ (11.1%) groups. Furthermore, excellent results have been documented with both procedures with low fistula rates [16][17][18][19][20]. Thus, no universal opinion exists in world literature.…”

Clinical Validation of the ISGPF Classification and the Risk Factors of Pancreatic Fistula Formation Following Duct-to-Mucosa Pancreaticojejunostomy by One Surgeon at a Single Center

“…[7][8][9] Various anastomotic methods have been developed to reduce pancreatic fistula rates, such as end-toend dunking PJ, the duct-to-mucosa technique, external drainage of the pancreatic duct, internal stenting of the pancreatic duct, and modifications of these techniques. [10][11][12][13][14][15] Poon et al 16 reported that the use of an external stent to drain the pancreatic duct significantly reduced the pancreatic fistula rate. In the present study, no external stent to drain was used; thus, we are not in a position to compare the external and internal pancreatic drain methods with respect to pancreatic fistula development rates.…”

Anastomotic leakage in pancreatic surgery

“…Many efforts have been made to gain better results; they must be identified in preoperative and postoperative management and appropriate selection of patients, improved surgical skills, and development of multidisciplinary teams dedicated to the care of pancreatic patients 8 9 . However, even if mortality is less than 3–5% in experienced hands, the overall morbidity rate is still high – from 30% to 50%– leading to prolonged in‐hospital stay and increased costs 1–61.…”