{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T06:34:39Z","timestamp":1794378879133,"version":"4.9.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T00:00:00Z","timestamp":1700265600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T00:00:00Z","timestamp":1700265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["No. 82070678"],"award-info":[{"award-number":["No. 82070678"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background and Objective<\/jats:title>\n                <jats:p>It is controversial whether wrapping around the pancreaticojejunostomy (PJ) could reduce the rate of postoperative pancreatic fistula (POPF), especially in laparoscopic pancreaticoduodenectomy (LPD). This study aims to summarize our single-center initial experience in wrapping around PJ using the ligamentum teres hepatis (LTH) and demonstrate the feasibility and safety of this method.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients who underwent LPD applying the procedure of wrapping around the PJ were identified. The cohort was compared to the cohort with standard non-wrapping PJ. A 1:1 propensity score matching (PSM) was performed to compare the early postoperative outcomes of the two cohorts. Risk factors for POPF were determined by using univariate and multivariate logistic regression analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Overall, 143 patients were analyzed (LPD without wrapping (<jats:italic>n<\/jats:italic>\u2009=\u200991) and LPD with wrapping (<jats:italic>n<\/jats:italic>\u2009=\u200952)). After 1:1 PSM, 48 patients in each cohort were selected for further analysis. Bile leakage, DGE, intra-abdominal infection, postoperative hospital stays, harvested lymph nodes, and R0 resection were comparable between the two cohorts. However, the wrapping cohort was associated with significantly less POPF B (1 vs 18, <jats:italic>P<\/jats:italic>\u2009=\u20090.003), POPF C (0 vs 8, <jats:italic>P<\/jats:italic>\u2009=\u20090.043), and Clavien\u2013Dindo classification level III\u2013V (5 vs 26, <jats:italic>P<\/jats:italic>\u2009=\u20090.010). No patients died due to the clinically relevant POPF in the two cohorts. No patients who underwent the LTH wrapping procedure developed complications directly related to the wrapping procedure. After PSM, whether wrapping was an independent risk factor for POPF (OR\u2009=\u20090.202; 95%CI:0.080\u20130.513; <jats:italic>P<\/jats:italic>\u2009=\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Wrapping the LTH around the PJ technique for LPD was safe, efficient, and reproducible with favorable perioperative outcomes in selected patients. However, further validations using high-quality RCTs are still required to confirm the findings of this study.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12957-023-03255-8","type":"journal-article","created":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T05:10:58Z","timestamp":1700284258000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Wrapping pancreaticojejunostomy using the ligamentum teres hepatis during laparoscopic pancreaticoduodenectomy: a propensity score matching analysis"],"prefix":"10.1186","volume":"21","author":[{"given":"Jia-Guo","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Lei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"You","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuo-Jin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,18]]},"reference":[{"issue":"11","key":"3255_CR1","doi-asserted-by":"publisher","first-page":"4562","DOI":"10.1245\/s10434-020-08533-3","volume":"27","author":"X Wang","year":"2020","unstructured":"Wang X, Cai Y, Jiang J, Peng B. Laparoscopic Pancreaticoduodenectomy: outcomes and experience of 550 patients in a single institution. Ann Surg Oncol. 2020;27(11):4562\u201373.","journal-title":"Ann Surg Oncol"},{"issue":"11","key":"3255_CR2","doi-asserted-by":"publisher","first-page":"1443","DOI":"10.1002\/bjs.10662","volume":"104","author":"C Palanivelu","year":"2017","unstructured":"Palanivelu C, Senthilnathan P, Sabnis SC, Babu NS, Srivatsan Gurumurthy S, Anand Vijai N, et al. Randomized clinical trial of laparoscopic versus open pancreatoduodenectomy for periampullary tumours. Br J Surg. 2017;104(11):1443\u201350.","journal-title":"Br J Surg"},{"issue":"3","key":"3255_CR3","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/S2468-1253(19)30004-4","volume":"4","author":"J van Hilst","year":"2019","unstructured":"van Hilst J, de Rooij T, Bosscha K, Brinkman DJ, van Dieren S, Dijkgraaf MG, et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours (LEOPARD-2): a multicentre, patient-blinded, randomised controlled phase 2\/3 trial. Lancet Gastroenterol Hepatol. 2019;4(3):199\u2013207.","journal-title":"Lancet Gastroenterol Hepatol"},{"issue":"6","key":"3255_CR4","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/S2468-1253(21)00054-6","volume":"6","author":"M Wang","year":"2021","unstructured":"Wang M, Li D, Chen R, Huang X, Li J, Liu Y, et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours: a multicentre, open-label, randomised controlled trial. 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All procedures performed in this study were in accordance with the ethical standards of the Second Affiliated Hospital of Chongqing Medical University and with the 1964 Helsinki Declaration (protocol code 2023\u201348 and date of approval 2023\u201305-08).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patients for their anonymized information to be published in this article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"356"}}