Modified pancreatico-gastrostomy after pylorus preserving pancreatico-duodenectomy for cancer head of pancreas

ABSTRACT

The leakage of pancreatic juice is one of the most serious complications after pancreatico-duodenectomy. In an attempt to lessen the incidence of this complication, we performed a. modified pancreatico-gastrostomy after pancreatico-duodenectomy in 31 patients. The technique was made by implantation of the pancreatic remnant with pancreatic duct stent into the posterior gastric wall after the performing of figure of 8 sutures opposite to each other at the inferior and the superior borders of the pancreas. One layer of the invaginating anastomosis was performed between the pancreas and the posterior gastric wall. The following parameters were assisted mortality; morbidity; length of the hospitalization and duration of the nasogastric tube and drainage. The range of the patient admission was ranged from 9 to 24 days. The new technique in the present study has proved to be applicable and has many advantages than the previously used methods since, the morbidity and the mortality rates were reduced, no pancreatic leakage was observed in all patients and no delaying gastric emptying was recorded during the hospital period for all cases