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

Papillary-like main pancreatic duct invaginated pancreaticojejunostomy versus duct-to-mucosa pancreaticojejunostomy after pancreaticoduodenectomy: A prospective randomized trial. Surgery 2015; 158: 1211–1218.

Published: 11th February 2016

Authors: Xu J, Zhang B, Shi S, Qin Y, Ji S, Xu W et al. et al.

Conclusion

This new method of pancreatic reconstruction reduced the rate of postoperative pancreatic fistula from 20.3 to 9 per cent (P=0.005) in this multicentre study that included 308 procedures. It seemed particularly beneficial when the pancreas was soft texture and the pancreatic duct not dilated.

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