Evidence map›Paper›PMID 42171698›Full record

ArticleSurgery today2026

Horizontal hexagonal six-stitch pancreaticojejunostomy (HEXA-PJ): a simple and reproducible anastomotic technique.

Asahi Sato, Kazuyuki Nagai, Kei Yamane, Satoshi Nomura, Kentaro Kadono, Takahiro Nishio, Katsunori Sakamoto, Satoshi Ogiso, Yoichiro Uchida, Takashi Ito and 2 more

Abstract read
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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Asahi SatoDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Kazuyuki NagaiDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan. kaznagai@kuhp.kyoto-u.ac.jp.
Kei YamaneDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Satoshi NomuraDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Kentaro KadonoDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Takahiro NishioDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Katsunori SakamotoDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Satoshi OgisoDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Yoichiro UchidaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Takashi ItoDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Takamichi IshiiDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Etsuro HatanoDepartment of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreaticoduodenectomy (PD) is one of the most technically demanding gastrointestinal surgical procedures. Among its various components, pancreaticojejunostomy (PJ) is particularly complex. We developed a simple and easy-to-perform pancreaticojejunostomy technique, termed Horizontal Hexagonal Six-stitch Pancreaticojejunostomy (HEXA-PJ). After placing U-shaped sutures on the jejunal seromuscular layers and pancreas, the HEXA-PJ technique begins with the placement of two anterior traction sutures on the pancreatic duct, followed by suturing at the 3- and 9-o'clock positions. Owing to the improved visualization achieved through this sequence, the remaining posterior sutures can be easily placed. After completing the anterior sutures, the duct-to-mucosa anastomosis is finalized in a controlled manner. Finally, modified Blumgart sutures were placed and ligated. This structured approach can be easily learned and can shorten the anastomotic time of the PJ without increasing the risk of significant postoperative complications.

Indexed as

PancreasPancreaticojejunostomySuture TechniquesAnastomosis, SurgicalHumansJejunumPancreatic DuctsPancreaticoduodenectomyPostoperative ComplicationsDuct-to-mucosaPancreatic fistulaPancreaticoduodenectomy

Identifiers

PMID42171698
PMCPMC13473074

What Socratic holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.