Abstract:

In the past 20 years, laparoscopic pancreaticoduodenectomy (LPD) has developed rapidly in China and has become a routine operation in many centers. Pancreaticojejunostomy is a key step in LPD. A wide variety of pancreaticojejunostomy have emerged with the development of minimally invasive surgery. Each type of pancreaticojejunal anastomosis has its advantages and disadvantages as well as its suitable population. Duct to mucosal anastomosis and its improved methods have become the mainstream choices, but none of them can completely avoid the occurrence of pancreatic fistula. In clinical practice, the key to reduce the occurrence of postoperative pancreatic fistula is to select individualized pancreaticojejunostomy and improve the anastomosis quality by comprehensively considering the actual situation of the patient, the proficiency of the operator and the specific situation during the operation.

Key words: Pancreaticoduodenectomy, Laparoscopes, Pancreatic fistula, Pancreaticojejunostomy