Abstract:
Pancreaticoduodenectomy is considered the standard operation for periampullary
tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an
important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous
surgical technique and proper reconstruction of the pancreas are essential to prevent
pancreatic fistula. Pancreaticogastrostomy is a safe method for reconstruction of the
pancreas after pancreaticoduodenectomy. Regardless of pancreatic texture or duct
diameter, the reconstruction is performed by passing full-thickness sutures through
both the anterior and posterior sides of the pancreas. In this study, we report 39 cases of
reconstruction with pancreaticogastrostomy after pancreaticoduodenectomy without
mortality or pancreatic fistula.
