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.
 Results: 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 involves quite
 severe and difficult to resolve postoperative complications
 (up to 50-70% of cases) and the resulting high fatality. The
 proposed pancreaticoduodenal anastomosis forming technique
 has efficiently reduced postoperative complications and fatality to a significant extent