Reliability of continuous suture of pancreaticojejunostomy after pancreaticoduodenectomy

Hyung Joon Han, Sae-Byeol Choi, Jin Suk Lee, Wan-Bae Kim, Taejin Song, Sung Ock Suh, Young Chul Kim, Sang Yong Choi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background/Aims: Currently, there seems to be no optimized method of pancreaticojejunostomy, and numerous modifications have been used to reduce postoperative pancreatic fistula after pancreaticoduodenectomy. The aim of the present study was to assess the efficacy of continuous sutures for duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy and find predictive risk factors of postoperative pancreatic fistula. Methodology: We retrospectively reviewed the medical records of 112 patients who underwent pancreaticoduodenectomy, which included patient's demographics, disease-related factors and operative risk factors. Results: Between the interrupted suture and continuous suture groups, there was no significant difference in presence of preoperative biliary drainage, pancreas tex-ture, the pancreatic duct diameter and the prevalence of coronary artery disease. Postoperative pancreatic fistula developed in 21 (18.8%) of the 112 patients who underwent pancreaticoduodenectomy. Only preoperative biliary drainage and operation type showed significant differences for developing pancreatic fistula in a multivariate analysis. Conclusions: The study revealed that the incidence of pancreatic fistula was similar in both the continuous and interrupted suture groups of pancreaticojejunostomy. Continuous suture group had shorter operative time, less damage, fewer knots and less tension than interrupted sutures. Therefore, we concluded that the continuous suture method is feasible and safe to apply to reconstructing pancreaticojejunostomy.

Original languageEnglish
Pages (from-to)2132-2139
Number of pages8
JournalHepato-Gastroenterology
Volume58
Issue number112
DOIs
Publication statusPublished - 2011 Nov 1

Fingerprint

Pancreaticojejunostomy
Pancreaticoduodenectomy
Pancreatic Fistula
Sutures
Drainage
Pancreatic Ducts
Operative Time
Medical Records
Coronary Artery Disease
Pancreas
Mucous Membrane
Cohort Studies
Multivariate Analysis
Demography

Keywords

  • Continuous sutures
  • Pancreatic fistula
  • Pancreaticoduodenectomy
  • Pancreaticojejunostomy
  • Surgical anastomosis

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Reliability of continuous suture of pancreaticojejunostomy after pancreaticoduodenectomy. / Han, Hyung Joon; Choi, Sae-Byeol; Lee, Jin Suk; Kim, Wan-Bae; Song, Taejin; Suh, Sung Ock; Kim, Young Chul; Choi, Sang Yong.

In: Hepato-Gastroenterology, Vol. 58, No. 112, 01.11.2011, p. 2132-2139.

Research output: Contribution to journalArticle

Han, Hyung Joon ; Choi, Sae-Byeol ; Lee, Jin Suk ; Kim, Wan-Bae ; Song, Taejin ; Suh, Sung Ock ; Kim, Young Chul ; Choi, Sang Yong. / Reliability of continuous suture of pancreaticojejunostomy after pancreaticoduodenectomy. In: Hepato-Gastroenterology. 2011 ; Vol. 58, No. 112. pp. 2132-2139.
@article{359877aa2c024eb6b2ebc2393bcb1fec,
title = "Reliability of continuous suture of pancreaticojejunostomy after pancreaticoduodenectomy",
abstract = "Background/Aims: Currently, there seems to be no optimized method of pancreaticojejunostomy, and numerous modifications have been used to reduce postoperative pancreatic fistula after pancreaticoduodenectomy. The aim of the present study was to assess the efficacy of continuous sutures for duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy and find predictive risk factors of postoperative pancreatic fistula. Methodology: We retrospectively reviewed the medical records of 112 patients who underwent pancreaticoduodenectomy, which included patient's demographics, disease-related factors and operative risk factors. Results: Between the interrupted suture and continuous suture groups, there was no significant difference in presence of preoperative biliary drainage, pancreas tex-ture, the pancreatic duct diameter and the prevalence of coronary artery disease. Postoperative pancreatic fistula developed in 21 (18.8{\%}) of the 112 patients who underwent pancreaticoduodenectomy. Only preoperative biliary drainage and operation type showed significant differences for developing pancreatic fistula in a multivariate analysis. Conclusions: The study revealed that the incidence of pancreatic fistula was similar in both the continuous and interrupted suture groups of pancreaticojejunostomy. Continuous suture group had shorter operative time, less damage, fewer knots and less tension than interrupted sutures. Therefore, we concluded that the continuous suture method is feasible and safe to apply to reconstructing pancreaticojejunostomy.",
keywords = "Continuous sutures, Pancreatic fistula, Pancreaticoduodenectomy, Pancreaticojejunostomy, Surgical anastomosis",
author = "Han, {Hyung Joon} and Sae-Byeol Choi and Lee, {Jin Suk} and Wan-Bae Kim and Taejin Song and Suh, {Sung Ock} and Kim, {Young Chul} and Choi, {Sang Yong}",
year = "2011",
month = "11",
day = "1",
doi = "10.5754/hge10314",
language = "English",
volume = "58",
pages = "2132--2139",
journal = "Hepato-Gastroenterology",
issn = "0172-6390",
publisher = "H.G.E. Update Medical Publishing Ltd.",
number = "112",

}

TY - JOUR

T1 - Reliability of continuous suture of pancreaticojejunostomy after pancreaticoduodenectomy

AU - Han, Hyung Joon

AU - Choi, Sae-Byeol

AU - Lee, Jin Suk

AU - Kim, Wan-Bae

AU - Song, Taejin

AU - Suh, Sung Ock

AU - Kim, Young Chul

AU - Choi, Sang Yong

PY - 2011/11/1

Y1 - 2011/11/1

N2 - Background/Aims: Currently, there seems to be no optimized method of pancreaticojejunostomy, and numerous modifications have been used to reduce postoperative pancreatic fistula after pancreaticoduodenectomy. The aim of the present study was to assess the efficacy of continuous sutures for duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy and find predictive risk factors of postoperative pancreatic fistula. Methodology: We retrospectively reviewed the medical records of 112 patients who underwent pancreaticoduodenectomy, which included patient's demographics, disease-related factors and operative risk factors. Results: Between the interrupted suture and continuous suture groups, there was no significant difference in presence of preoperative biliary drainage, pancreas tex-ture, the pancreatic duct diameter and the prevalence of coronary artery disease. Postoperative pancreatic fistula developed in 21 (18.8%) of the 112 patients who underwent pancreaticoduodenectomy. Only preoperative biliary drainage and operation type showed significant differences for developing pancreatic fistula in a multivariate analysis. Conclusions: The study revealed that the incidence of pancreatic fistula was similar in both the continuous and interrupted suture groups of pancreaticojejunostomy. Continuous suture group had shorter operative time, less damage, fewer knots and less tension than interrupted sutures. Therefore, we concluded that the continuous suture method is feasible and safe to apply to reconstructing pancreaticojejunostomy.

AB - Background/Aims: Currently, there seems to be no optimized method of pancreaticojejunostomy, and numerous modifications have been used to reduce postoperative pancreatic fistula after pancreaticoduodenectomy. The aim of the present study was to assess the efficacy of continuous sutures for duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy and find predictive risk factors of postoperative pancreatic fistula. Methodology: We retrospectively reviewed the medical records of 112 patients who underwent pancreaticoduodenectomy, which included patient's demographics, disease-related factors and operative risk factors. Results: Between the interrupted suture and continuous suture groups, there was no significant difference in presence of preoperative biliary drainage, pancreas tex-ture, the pancreatic duct diameter and the prevalence of coronary artery disease. Postoperative pancreatic fistula developed in 21 (18.8%) of the 112 patients who underwent pancreaticoduodenectomy. Only preoperative biliary drainage and operation type showed significant differences for developing pancreatic fistula in a multivariate analysis. Conclusions: The study revealed that the incidence of pancreatic fistula was similar in both the continuous and interrupted suture groups of pancreaticojejunostomy. Continuous suture group had shorter operative time, less damage, fewer knots and less tension than interrupted sutures. Therefore, we concluded that the continuous suture method is feasible and safe to apply to reconstructing pancreaticojejunostomy.

KW - Continuous sutures

KW - Pancreatic fistula

KW - Pancreaticoduodenectomy

KW - Pancreaticojejunostomy

KW - Surgical anastomosis

UR - http://www.scopus.com/inward/record.url?scp=84863293886&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863293886&partnerID=8YFLogxK

U2 - 10.5754/hge10314

DO - 10.5754/hge10314

M3 - Article

C2 - 22024085

AN - SCOPUS:84863293886

VL - 58

SP - 2132

EP - 2139

JO - Hepato-Gastroenterology

JF - Hepato-Gastroenterology

SN - 0172-6390

IS - 112

ER -