Nullifynig leakage of pancreaticojejunostomy after pancreaticoduodenectomy

Background: Pancreatic anastomosis is the corner stone of pancreaticoduodenectomy. Postoperative pancreatic fistula is a major cause of morbidity and mortality. The optimal method of pancreatic remnant reconstruction is controversial and no single technique has shown to be superior. The aim of this work was to present the results of a novel technique for pancreaticojejuonostomy in 36 patients after pancreaticoduodenectomy Method: Our anastomosis is a two layers anastomosis. First layer was done with interrupted transverse mattress sutures with 4/0 PDS including the whole thickness of the pancreas and whole thickness of the jejunum (not duct to mucosa only ). Sutures are taken over a 14 G stent inserted in the pancreatic duct and jejunum. A second interrupted mattress sutures were taken between the seromuscular coat of the jejunal stump and the outer half thickness of the pancreas.