Objective:To evaluate the influence of an improved end-to-end pancreaticojejunostomy on the occurrence of pancreatic fistula after pancreaticoduodenectomy (PD).
Methods:We retrospectively analysied 71 cases of pancreaticoduodenectomy and compared the occrrence rate of pancreatic fistula between different types of pancreaticojejunostomy.
Results:The overall morbidity rate of pancreatic fistula was 18.3% (13/71). The occurrence rate of pancreatic fistula after improved end-to-end pancreaticojejunostomy (0%, 0/22) was significantly lower than that of traditional end-to-end anastomosis (27.6%, 8/29) (P<0.05) and that of end-to-side anastomosis (25%, 5/20) (P<0.05)，but there was no significant difference between traditional end-to-end anastomosis and end-to-side anastomosis (P>0.05).
Conclusions:This improved end-to-end pancreaticojejunostomy can significantly reduce the occurrence rate of pancreatic fistula after PD.