Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy



Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic pancreatic resection, laparoscopic pancreaticoduodenectomy still presents major technical difficulties, such as when performing pancreatic–enteric anastomosis.


Laparoscopic dunking pancreaticojejunostomy using mattress sutures was performed in 15 consecutive patients with a soft pancreas and a nondilated pancreatic duct between October 2011 and December 2012.


According to the International Study Group on Pancreatic Fistula criteria, 3 patients developed PF (grade A), whereas the remaining 12 patients did not.


Dunking pancreaticojejunostomy using mattress sutures is considered to be a feasible and safe method for performing pure laparoscopic pancreaticoduodenectomy.

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Drs. Akihiro Cho, Hiroshi Yamamoto, Osamu Kainuma, Yorihiko Muto, SeonJin Park, Hidehito Arimitsu, Mamoru Sato, Hiroaki Souda, Atsushi Ikeda, Yoshihiro Nabeya, Nobuhiro Takiguchi, and Matsuo Nagata have no conflicts of interest or financial ties to disclose.

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Correspondence to Akihiro Cho.

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Cho, A., Yamamoto, H., Kainuma, O. et al. Performing simple and safe dunking pancreaticojejunostomy using mattress sutures in pure laparoscopic pancreaticoduodenectomy. Surg Endosc 28, 315–318 (2014) doi:10.1007/s00464-013-3156-4

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  • Laparoscopy
  • Pancreaticoduodenectomy
  • Laparoscopic pancreaticoduodenectomy
  • Pancreaticojejunostomy
  • Dunking
  • Mattress suture