Although recent advances in laparoscopic technology have popularized laparoscopic pancreatoduodenectomy (LPD), laparoscopic pancreaticojejunostomy anastomosis (PJA) still presents a major technical challenge. From February 2021 to January 2023, 42 patients underwent LPD with modified double U-suture PJA. Data on the demographic characteristics and clinical results of these patients were investigated. The median operation time was 316 min (249-596 min). The median PJA time was 32 min (25-40 min). The median intraoperative blood loss was 150 mL (50-500 mL). The median postoperative stay was 12 days (7-30 days). Complications occurred in 10 (23.8%) patients, including two cases (4.8%) of delayed gastric emptying and nine cases (21.4%) of postoperative pancreatic fistula (POPF). One patient presented delayed gastric emptying and POPF. Eight patients (19.0%) experienced biochemical leakage, and one patient (2.4%) had grade B POPF. Laparoscopic double U-suture PJA is a feasible and safe technique for performing LPD.
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- A modified Blumgart method for pancreaticojejunostomy using LAPRA-TY suture clips is explored to enhance laparoscopic surgery and reduce postoperative complications.
- A study comparing 39 patients showed that while the rate of postoperative pancreatic fistula (21.1%) was similar with and without LAPRA-TY clips, the time taken for the LAPRA-TY group (average 56.2 minutes) was significantly shorter than the conventional method (average 69.7 minutes).
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