ArticleAnnals of hepato-biliary-pancreatic surgery2022
What is the pancreatic duct size limit for a safe duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy? A retrospective study.
Article in Annals of hepato-biliary-pancreatic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 4 citations in OpenAlex.
- Risk Factors for Postoperative Pancreatic Fistula After Pancreaticoduodenectomy: A Single-Center Experience.Cureus · 2026Article
- Initial experience of robotic-assisted pancreaticoduodenectomy using the da Vinci SP system.Surgical endoscopy · 2025Article
- A case series of emergency pancreaticoduodenectomies: What were their indications and outcomes?Annals of hepato-biliary-pancreatic surgery · 2023Article
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Authors and funding
9 authors at 1 institution in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUNDS/
aimsPostoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD) remains a dreadful complication. Duct-to-mucosa pancreaticojejunostomy (DTMPJ) is a commonly performed anastomosis after PD. This study aims to evaluate whether there is a size limit of pancreatic duct below which POPF rate increases significantly after DTMPJ.
methodsA retrospective study was performed from a database with prospectively collected data on consecutive patients undergoing DTMPJ.
resultsBetween the years 2003 and 2019, a total of 288 patients with DTMPJ were recruited. POPF occurred in 56.3% of the patients, of which 43.8% were biochemical leak, 8.7% were grade B, and 1.4% were grade C. Overall operative morbidity was 51.4%, of which 19.1% were major complications. Five patients (1.7%) died within 90 days of operation. Patients with grade B/C POPF had significantly soft pancreas (
conclusionsDTMPJ can be safely performed for pancreatic duct > 1 mm without significantly increased POPF risk.
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