Pancreaticojejunostomy with double-layer continuous suturing is associated with a lower risk of XXXX after pancreaticoduodenectomy: A comparative study.

@entity1 @entity190 @entity254 @entity532 @entity3472
UNASSIGNED: Background: Postoperative @entity3472 (POPF) remains a leading cause of morbidity and mortality after pancreaticoduodenectomy (PD). Thus, a number of technical modifications regarding the pancreatoenteric @entity254 after PD have been proposed to reduce POPF rate. In this article we focused on evaluating whether the double layer continuous suture technique was better than the double layer interrupted suture technique in pancreatic-enteric @entity254 after PD. Material and methods: From 2012 to 2013, 114 @entity1 (67 @entity1 and 47 @entity1 ) underwent a pancreatic-enteric @entity254 after PD were analysed. There were 79 @entity1 using the double layer continuous suture technique and 35 @entity1 were using the double layer interrupted suture technique. The operation time, intraoperative @entity190 , initial postoperative day of oral feeding, postoperative hospital stay and the presence of @entity532 ( @entity3472 ) were evaluated by chi-square test or unpaired t-test in this study. Results: @entity3472 occurred in @entity1 with double layer continuous suture was 17.14%(6/35), and in those with interrupted suture was 39.24%(31/79) (p  <  0.05). Grade A of POPF was found in 4 @entity1 (4/35, 11.43%) of the double layer continuous suture group and in 5 @entity1 (5/79, 6.33%) of the double layer interrupted suture group. Grade B of POPF was identified only in 1 @entity1 (1/35, 2.83%) of the double layer continuous suture group and in 23 @entity1 (23/79, 29.11%) of the double layer interrupted suture group. The presence of Grade C @entity3472 was only documented in one @entity1  in the double layer continuous suture group and 3 @entity1 in the interrupted suture group. No operative or in-hospital deaths occurred. Conclusions: The double-layer continuous suturing after PD is safe, reliable, rapid, favorable and associated with a lower risk of @entity3472 than the double layer interrupted suture.
