title: [Choice of the method of pancreatodigestive anastomosis after pancreatoduodenal resection].
abstract: Immediate results of 129 pancreatoduodenal resections were analyzed. All the patients were divided into 3 groups depending of the diameter of the pancreatic duct and the degree of fibrosis in pancreatic parenchyma. Two original methods of pancreatojejunostomy were used: end-loop and invaginated one. There is a high risk of pancreatic stump-dependent postoperative complications in patients with a narrow duct and loose pancreatic parenchyma. Original invaginated anastomosis reduced the rate of these complications to the number in the group of patients with a wide duct and dense parenchyma. This method has decreased postoperative lethality from 11.3 to 3.0%.
authors.forename: D M
authors.initials: DM
authors.lastname: V'iushkov
authors.forename: D I
authors.initials: DI
authors.lastname: Demin
authors.forename: I I
authors.initials: II
authors.lastname: Minaev
authors.forename: M P
authors.initials: MP
authors.lastname: Salamakhin
authors.forename: M V
authors.initials: MV
authors.lastname: Dvorkin
authors.forename: A V
authors.initials: AV
authors.lastname: Mun
mesh_terms: D000368:Aged; D003550:Cystic Fibrosis / Q000473:pathology / Q000601:surgery; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D010179:Pancreas / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000379:methods; D016896:Treatment Outcome