[Improved pancreatodigestive anastomoses in pancreatoduodenal resection]

Short-term results of various modifications of pancreatoduodenal resections (PDR) in 105 patients were analyzed. Pancreatodigestive anastomoses (PDA) were performed in 97 of them. The control group consisted of 62 patients with different variants of pancreatojejunoanastomoses (PEA). The study group consisted of 35 patients with modified pancreatogastroanastomosis (PGA) -- 11 patients, and original PEA -- 24 patients. There were no gastric bleedings after proposed method of PGA. Sutures insufficiency of PDA was seen in 7 (11.2%) patients of the control group and did not occur in the study group (p=0.0464). Postoperative lethality after PDR with PDA has reduced from 22.4 to 5.7% over last 10 years (p=0.0446).