Modification of the reconstruction after pancreaticoduodenectomy — physiologic reconstruction

Summary. Pancreatic anastomotic failure remains among the most common (5–40%) and potentially lethal postoperative complications after pancreaticoduodenectomy. Despite a large number of reconstructive methods after pancreaticoduodenectomy, none of them are physiological. We develop a new reconstructive method — physiological reconstruction. A trial involving 24 patients who underwent pancreatic head resections. Reconstruction by an original technique was performed in 14 patients. Our method was associated with reduction of the incidence of pancreatic anastomotic leak, (7% vs 30%) and average hospital stay (14.2 days vs 19.5). First results of the developed method are promising.