A Modified Technique Of Pancreaticojejunostomy For Soft Pancreas Reduces The Frequency Of Postoperative Complications

Aims: The most demanding anastomosis of cephalic pancreaticoduodenectomy is pancreaticojejunostomy. In order to reduce the number of complications of pancreaticojejunostomy, we worked to improve the technique of creating the anastomosis by modification of several aspects of the already standardized technique of creating a pancreaticojejunostomy. Materials and Methods: Observational cohort study was conducted on 50 patients who had undergone a cephalic pancreaticoduodenectomy due to a periampullary carcinoma in the period from January 2011 to March 2016. We analyzed the effect of the presented technique on postoperative morbidity and mortality. Results: Of the 50 surgical patients, 31 (62%) were male. The mean age of the surgical patients was 58.8 +/- 10.08 years. Postoperative morbidity of 28% was lower than figures from literatures, which range from 35-43% (p > 0.05). Postoperative mortality was 6%, and in line with the figures from literature. Postoperative pancreatic fistula occurred in 6% of patients, which is also lower than 12.9% found in literature (p > 0.05). Conclusion: Postoperative morbidity in patients in whom a pancreaticojejunostomy was created with presented technique, including the incidence of a postoperative pancreatic fistula, was lower, although the difference was not statistically significant.