title: [Improvement of immediate results of pancreatoduodenal resection for periampullary cancer].
abstract: The immediate results of 454 pancreatoduodenal resections for periampullary cancer are analyzed. The pancreatodigestive anastomosis was performed in all cases. Authors prove the necessity of differential approach to the method of pancreatodigestive anastomosis formation, taking into consideration anatomy of the area, pancreatic blood circulation characteristics, peptic activity of gastrojejunopancreatic complex and results of intraoperative morphologic analysis. Using this approach allowed to reach the postoperative lethality rate of 5.2% for the last 250 operations.
authors.forename: V F
authors.initials: VF
authors.lastname: Kasatkin
mesh_terms: D000714:Anastomosis, Surgical; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D016879:Salvage Therapy; D016896:Treatment Outcome