[Choice of the method of pancreatodigestive anastomosis after pancreatoduodenal resection].

Immediate results of 129 pancreatoduodenal resections were analyzed. All the patients were divided into 3 groups depending of the diameter of the pancreatic duct and the degree of fibrosis in pancreatic parenchyma. Two original methods of pancreatojejunostomy were used: end-loop and invaginated one. There is a high risk of pancreatic stump-dependent postoperative complications in patients with a narrow duct and loose pancreatic parenchyma. Original invaginated anastomosis reduced the rate of these complications to the number in the group of patients with a wide duct and dense parenchyma. This method has decreased postoperative lethality from 11.3 to 3.0%.