[Experience in 110 pancreatoduodenal resections]

An experience with 110 pancreatoduodenal resections is described. The possibility to fulfil the operation depended on the size of the tumor of the pancreas head (not more that 4 cm), on the width of the common bile duct (not more than 15 mm) and on the length of the not injured part of the hepatocoledochus (not less than 5 cm). The positive and negative features of ablation of the tumor in one or two steps are shown. It is thought to be expedient to save the gallbladder and the stomach with its pyloric sphincter. The restorative period after operations was performed by the Whipple method. Grounds for the expedience of transnasal drainage of the small intestine loop isolated after Roux are given. Postoperative lethality was 7.2%.