title: [Contemporary aspects in the performance of pancreatic anastomosis after pancreatoduodenal resecions].
abstract: BACKGROUND
  Historically, the pancreatic anastomosis has a significant impact on the high morbidity levels in pancreatoduodenal resections. This leads to parallel development of alternative techniques for reconstruction. The major methods are pancreato-jeuno and pancreato-gastroanastomosis.
  
  
  METHODS
  We present 82 consecutive cases with pancreatoduodenal resections for the reason of pancreatic head malignancies. Pancreato-jeunal anastomosis is the preferred method and the evolution in the anastomosing technique of pancreatic rermnat is presented.
  
  
  RESULTS
  Nine patients had pancreatic fistula (10.9%) and in six cases (7.3%) intra abdominal abscess was observed.
  
  
  CONCLUSIONS
  Our experience as well as the analysis of different investigations confirmed the thesis that each center should choose one of the major techniques and develop it--clear tendency of decrease of the frequency of pancreatic fistulas with the growth of the experience, is observed.
authors.forename: N
authors.initials: N
authors.lastname: Vladov
authors.forename: I
authors.initials: I
authors.lastname: Takorov
authors.forename: K
authors.initials: K
authors.lastname: Katzarov
authors.forename: V
authors.initials: V
authors.lastname: Mutafchiyski
authors.forename: S
authors.initials: S
authors.lastname: Sergeev
mesh_terms: D000714:Anastomosis, Surgical / Q000639:trends; D004386:Duodenum / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery; D010179:Pancreas / Q000473:pathology / Q000601:surgery*; D010185:Pancreatic Fistula / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000601:surgery*