[Choice of the method of pancreatodigestive anastomosis after pancreatoduodenal resection].
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%.
V'iushkov
D M
DM
Demin
D I
DI
Minaev
I I
II
Salamakhin
M P
MP
Dvorkin
M V
MV
Mun
A V
AV
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