The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Duct-to-mucosa vs invagination for pancreaticojejunostomy after pancreaticoduodenectomy: a prospective, randomized controlled trial from a single surgeon. J Am Coll Surg 2016; 222: 10-18.

Published: 21st September 2016

Authors: Bai X, Zhang Q, Gao S, Lou J, Li G, Zhang Y et al.

Conclusion

In this study of 132 patients, the clinically relevant postoperative fistula rate was lower after duct to mucosa anastomosis (3.1 per cent) than after invagination (17.6 per cent); P=0.004. Severe complications were also more common in the latter group (P=0.013).

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