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Duct‐to‐mucosa versus dunking techniques of pancreaticojejunostomy after pancreaticoduodenectomy: Do we need more trials? A systematic review and meta‐analysis with trial sequential analysis

Pancreaticojejunostomy (PJ is the most widely used reconstruction technique after pancreaticoduodenectomy. Despite several randomized trials, the ideal technique of pancreaticojejunostomy remains debatable. We planned a meta‐analysis of randomized trials comparing the two most common techniques of PJ (duct‐to‐mucosa and dunking) to identify the best available evidence in the current literature.