pancreaticobiliary drainage by t-tube, a promising technique for prevention of pancreatic leakage following pancreaticoduodenectomy (whipple surgery)

peri-ampullary and pancreatic head cancer can cause significant morbidity and mortality among gastrointestinal malignancies in human beings because of its important anatomy and physiology.[1] this tumor is responsible for about 150,000 deaths annually all over the world, and is categorized as the 5th leading causes of death among the malignancies. [2] pancreaticoduodenectomy (pd) is the complex palliative procedure for patients affecting peri-ampullary and pancreatic head tumors, benign neoplasm and for other conditions such as chronic pancreatitis showing obstructive jaundice as a common symptom, which was first time invented by whipple et al .[3-7] despite best palliative and occasionally curativeness of this procedure, there are some contraindications for the surgery including: metastasis to distant organs, tumor infiltration to mesenteric and portal vessels and affecting small bowel mesentery by tumoral mass.[8]