Research on the Clinical Value of Different Pancreaticojejunostomy Techniques in Laparoscopic Pancreaticoduodenectomy
DOI:
https://doi.org/10.18063/apm.v10i2.895Keywords:
Laparoscopic pancreaticoduodenectomy, Duct-to-mucosa pancreaticojejunostomy, Modified pancreaticojejunostomy, Pancreatic fistula, Time indicators, ComplicationsAbstract
Objective: To observe the clinical application and value of different pancreaticojejunostomy techniques in laparoscopic pancreaticoduodenectomy. Methods: Sixty-eight patients who underwent laparoscopic pancreaticoduodenectomy in our hospital from January 2023 to January 2025 were selected. They were divided into two groups of 34 patients each using a random method. One group underwent duct-to-mucosa pancreaticojejunostomy (control group), while the other group underwent modified pancreaticojejunostomy (observation group). Surgical indicators (operation time, pancreaticojejunostomy time, intraoperative blood loss, postoperative hospital stay) were recorded for both groups, and postoperative complications were documented. Results: The observation group had significantly shorter operation time, pancreaticojejunostomy time, intraoperative blood loss, and postoperative hospital stay compared to the control group (P < 0.05). The incidence of postoperative complications was significantly lower in the observation group than in the control group (P < 0.05). However, there was no significant difference in the width of the main pancreatic duct between the two groups (P > 0.05). Conclusion: In laparoscopic pancreaticoduodenectomy, there are significant differences in perioperative indicators between different pancreatic anastomosis techniques. Among them, the modified pancreaticojejunostomy method can shorten time indicators and reduce the possibility of postoperative complications, making it worthy of clinical selection.
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