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, Takamichi Ishii, Etsuro Hatano · 2026
Read Horizontal hexagonal six-stitch pancreaticojejunostomy (HEXA-PJ): a simple and reproducible anastomotic technique by Asahi Sato, Kazuyuki Nagai, Kei Yamane, Satoshi Nomura, Kentaro Kadono, Takahiro Nishio, Katsunori Sakamoto, Satoshi Ogiso, Yoichiro Uchida, Takashi Ito, Takamichi Ishii, Etsuro Hatano (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13473074.txt.
Description
Asahi Sato and eleven colleagues described in 2026 a simpler way to join the pancreas to the intestine after a major cancer operation. Pancreaticoduodenectomy removes the head of the pancreas with nearby organs. It is among the hardest gut operations, and its pancreatic join is the most delicate step. The new method, named HEXA-PJ, uses six stitches arranged in a horizontal hexagon to make the join easier to see and to place.
The sequence starts with U-shaped stitches, then two front traction stitches on the duct, then side stitches, so back stitches can be placed with a clear view. The duct join is finished in a controlled way, and modified Blumgart stitches close the outer layer. The authors present the order as easy to learn and able to shorten joining time without raising major complication risk, though the report gives no patient numbers to test that claim.
Catalog record
| CREATOR | Asahi Sato, Kazuyuki Nagai, Kei Yamane, Satoshi Nomura, Kentaro Kadono, Takahiro Nishio, Katsunori Sakamoto, Satoshi Ogiso, Yoichiro Uchida, Takashi Ito, Takamichi Ishii, Etsuro Hatano |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |