Surgical management of pancreatoduodenal tumors: the experience of using the developed operation technique

Abstract

Relevance: The results of surgery in patients with pancreaticoduodenal cancer remain unsatisfactory. This complicates the choice of an optimal surgical technique in modern oncology.
 Surgery in the pancreaticoduodenal zone is associated with complications due to anatomical and physiological features
 of the pancreas and technical challenges of this surgical intervention. Despite preventive actions and innovative technologies, such a traumatic operation as pancreatoduodenal resection often produces complications, though recently fewer.
 This article describes a pancreaticoduodenal resection technique that reduces postoperative complication frequency and
 lethality in operable pancreaticoduodenal cancer.
 The purpose of the study was to assess the efficiency of an authorial pancreaticoduodenal resection technique (pancreaticojejunal invagination anastomosis) in pancreaticoduodenal cancer.
 The proposed pancreaticojejunal anastomosis-forming technique allowed reducing the postoperative complication frequency from 54.2% to 38,0% and postoperative lethality from 22.8% to 9,5%.
 Conclusion: This highly traumatic surgery is associated with postoperative complications (up to 50-70% of cases), which
 are quite severe and difficult to resolve and result in high fatality. The proposed pancreaticojejunal anastomosis forming technique has efficiently reduced postoperative complications and fatality to a significant extent.