UNA ORIGINALE METODICA DI RICOSTRUZIONE DOPO DUODENOCEFALOPANCREATECTOMIA CON CONSERVAZIONE DEL PILORO

Acute pancreatitis and leakage of pancreatic-jejunal anastomosis are the most important causes of operative morbidity and mortality after duodenocefalo-pancreato-duodenectomy (PD). The authors present an original reconstructive method that provides the functional exclusion of the pancreatic jejunostomy, respect to the transit of gastric and biliary secretions. The authors present a series of 13 PD performed during the period 1985-1991. The primary diseases were: chronic pancreatitis, carcinoma of the duodenum, ampullary carcinoma and carcinoma of the choledochus. The immediate advantages are the reduction in risk of leakage and the possibility of its conservative treatment in case leakage occurred. We didn't have any operative mortality, neither postoperative morbidity.