Experience in application of pancreaticojejunostomy with double purse-string suture in laparoscopic pancreaticoduodenectomy

Objective To investigate double purse- string suture as a safe and effective method for pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy. Methods A total of 6 patients who recently underwent laparoscopic pancreaticoduodenectomy in The First Hospital of Jilin University were enrolled. Their surgical methods and clinical data were analyzed retrospectively to analyze the application of double purse- string suture in laparoscopic pancreaticoduodenectomy. Results All the 6 patients completed the surgery successfully,and the mean time of operation was 317 min( range 260- 370 min). The mean time of pancreaticojejunostomy was 31 min( range 25- 39 min),and the mean intraoperative blood loss was 125 ml( range 50- 350 ml). There was no postoperative bleeding. Two patients experienced pancreatic leakage,among whom 1 experienced grade A pancreatic leakage which healed spontaneously,and the other patient experienced grade B pancreatic leakage which healed after treatment. Conclusion Double purse- string suture is a safe,effective,and convenient method for pancreaticojejunostomy during laparoscopic pancreaticoduodenectomy.