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Hepatogastroenterology. 2012 Jan-Feb;59(113):289-91. doi: 10.5754/hge11291.

A modified pancreaticojejunostomy: kissing pancreaticojejunostomy.

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  • 1Department of Abdominal Surgical Oncology, Zhejiang Cancer Hospital, Hangzhou, China.


Pancreaticoduodenectomy (Whipple procedure) has been the standard treatment for periampullary and pancreatic carcinoma. A leakage or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to prevent the development of pancreatic fistula, we designed a modified pancreaticojejunostomy called Kissing Pancreaticojejunostomy, by which the pancreatic tube was tightly in touch with (kissing) the jejunal mucosa via a tent tube. We have performed this procedure on 71 consecutive patients and only one patient developed pancreatic fistula. It is a safe, simple and efficient technique.

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