ArticleBMC surgery2025
Efficacy of Chen's pancreaticojejunostomy for patients with soft pancreatic texture and small main pancreatic duct in laparoscopic pancreaticoduodenectomy.
Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Omental wrapping of the pancreaticojejunostomy during pancreatoduodenectomy to prevent clinically relevant POPF: a GRADE-assessed systematic review and meta-analysis featuring geographic subgroup analysis.World journal of surgical oncology · 2026Pooled it
- The surgical outcomes of modified Chen's U-suture technique compared with duct-to-mucosa anastomosis in laparoscopic pancreaticoduodenectomy: a multi-center cohort study.Surgical endoscopy · 2026Article
- Extraordinary enlargement of the main pancreatic duct dilatation in pancreatic ductal adenocarcinoma - a case report.International journal of surgery case reports · 2026Article
- A modified stent-free Chen's U-suture technique in pediatric pancreaticojejunostomy: safety and efficacy.Frontiers in pediatrics · 2026Article
- Evolution and precision trends of pancreaticojejunostomy in pancreaticoduodenectomy.Frontiers in oncology · 2026Review
- Comparison of postoperative results between types of pancreaticoenteral anastomosis after pancreaticoduodenectomy.Gland surgery · 2025Article
- Developing a predictive model for healing of clinically relevant pancreatic fistulas post-pancreatoduodenectomy based on clinical and imaging nutritional status.Japanese journal of radiology · 2025Article
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8 authors.
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Abstract
backgroundPancreaticojejunostomy (PJ) is the key step in laparoscopic pancreaticoduodenectomy (LPD), the quality of which directly affects the incidence of postoperative pancreatic fistula (POPF). Soft pancreatic texture and a small main pancreatic duct (MPD) are risk factors for POPF, which also increase surgeons' difficulty with PJ. Chen's pancreaticojejunostomy is simple, feasible, and reproducible. This study aims to evaluate the clinical effects of Chen's pancreaticojejunostomy for patients with soft pancreas texture and a small MPD in LPD.
methodsThe clinical data of 112 patients who underwent LPD with Chen's pancreaticojejunostomy in Xiangyang Central Hospital from February 2018 to December 2023 were analyzed retrospectively. Summarize and evaluate the critical clinical indicators and postoperative complications during the perioperative period.
resultsAll 112 patients successfully underwent LPD. The median operation time was 300 min, the median PJ time was 27 min, and the median intraoperative blood loss was 100 ml. 8 patients (7.1%) had POPF, all of which had grade B POPF, and no grade C POPF occurred. Postoperative mortality was 1.8% (2/112) within 90 days, and no patient died due to POPF. Among 45 cases (40.2%) with soft pancreatic texture, five patients (11.1%) developed POPF. Among 41 patients (36.6%) with a diameter of MPD ≤ 3 mm, four patients (9.8%) developed POPF. The texture of the pancreas and the diameter of MPD did not affect postoperative complications (P > 0.05).
conclusionsChen's pancreaticojejunostomy is simple, safe and reliable, which is suitable for the condition of soft pancreatic texture or the small MPD.
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