IMPROVEMENT OF PANCREATICOJEJUNOSTOMY IN PANCREATICODUODENECTOMY

We compared two methods of pancreaticojejunostomy in 36 patients under going pancreatoduodenectomy. Pancreatoduodenectomy was performed in 17 men and 19 women aged 35-81 years, including 20 with pancreatic head cancer and 11 with papilla of Vater cancer. Group A (n=19) underwent p ancreaticojejunostomy with a stent tube that was exteriorized via the jejunum. In group B (n=17), the stent tube ran transhepatically from t he pancreatic duct before being exteriorized. The operating time, volu me of pancreatic secretions, and time until stent removal were not sig nificantly different between the two groups. However, there were 3 dea ths related to early anastomotic leakage and 1 pancreatic fistula in g roup A, while group B had only 2 spontaneously healing pancreatic fist ulas. Our results suggested that the pancreaticojejunostomy method use d for group B is superior due to its simplicity, shorter operating tim e, and better outcome.