[Duodenopancreatectomy. Continuous single pancreaticojejunostomy (video)]

From 1972 to January 1988 42 pancreato-duodenectomies were performed. There was no hospital death. In the last 7 patients the pancreatojejunostomy was done over-and-over in one row. In one of those patients the anastomosis had to be redone later on using an identical technique. The video shows selectioned steps in resection and reconstruction, in detail the preparation of the pancreatic stump as well as the anastomosis itself. In 2 cases there was massive secondary gastrointestinal hemorrhage. The bleeding artery could be localized by selective angiography to the jejunal side of the pancreatic anastomosis in 1 case, to the jejuno-jejunostomy in the other patient. Definitive hemostasis was accomplished by reoperation. The one row over-and-over-anastomosis is done without problems in the situation of a fibrotic pancreas and dilatation of pancreatic duct (3 patients). It is suitable too, when alterations of the pancreas are missing (5 cases).