The first experience of applying a new pancreatoenteroanastomosis with a «soft» pancreatic stump in pancreatoduodenal resection

The OBJECTIVE was to improve the results of pancreatoduodenal resection by reducing incidence pancreatoenteroanastomotic leak and postoperative pancreatitis with a «soft» pancreatic stump. METHODS AND MATERIALS . A new method for formation pancreatoenteroanastomosis has been developed implemented: precision wirsungojejunoanastomosis additional wide atraumatic peritonization stump cutoff loop small intestine. From February 2016 March 2018, this tested in 18 patients. RESULTS Pancreatoenteroanastomotic class noted 2 (11.1 %) patients, transient, asymptomatic, did not require medical measures extend duration period. There were no classes B C, pancreonecrosis stump, lethal outcomes. Objectively worst statistical obtained comparison group. CONCLUSION intestine anastomosis according proposed reduces leak.