[Cephalic duodenopancreatectomy with preservation of the pylorus]

We report a technique of cephalic pancreatico-duodenectomy preserving the pylorus which differs from that initially devised by Longmire and Traverso. Restoration of digestive tract continuity consists successively of end-to-end duodeno-jejunal anastomosis, end-to-side choledoco-jejunal anastomosis and end-to-side pancreatico-jejunal anastomosis. The simple technique has the advantage of restoring a perfectly physiological circuit. It seems to produce satisfactory immediate and mid- or long-term results with improvements in the patients' comfort.