Novosti
Khirurgii
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Year 2008 Vol. 16 No 4

GENERAL AND SPECIAL SURGERY

SCHASTNY A.T.

PANCREATODIGESTIVE ANASTOMOSES VARIANTS AT PANCREATODUODENAL RESECTION AND THE RESULTS OF THEIR APPLICATION

In the article the immediate results of 147 pancreatoduodenal resections performed in the clinics of Vitebsk are analyzed. The methods of pancreatodigestive anastomoses forming are presented as well as the complications associated with this stage of the operation. Pancreatodigestive anastomosis was formed in the following variants: pancreatojejunoanastomosis 17 (11,56%) patients, pancreatogastroanastomosis 111 (75,5%), pancreaticojejunoanastomosis 19 (12,9%).
The most common complication was pancreatodigestive anastomosis incompetence (14,3%). At pancreatogastroanastomosis it emerged in 34,2% of cases on the drainage, at invagination pancreatogastroanastomosis in 9,6%, at pancreatojejunoanastomosis in 5,9%. There wasnt such a kind of complication at pancreaticojejunoanastomosis forming.
We prefer pancreatojejunoanastomosis variants because we consider a cut off character of the intestine to be an important aspect; at the development of anastomosis incompetence and pancreatic fistulas no repeated surgeries were required in any case.
Taking into account the obtained results and data analyses of different clinics we may recommend to put anastomosis not with the whole resected surface of the pancreas stump but separately with its ducts or as pancreaticojejunoanastomosis or pancreatogastroanastomosis .

Keywords: pancreatoduodenal resection, pancreatodigestive anastomosis, complications, lethality.
p. 19 27 of the original issue
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