IMPROVED TECHNIQUE FOR PANCREATICOGASTROSTOMY WITH IMPLANTATION METHOD AFTER PANCREATICODUODENECTOMY

We performed improved pancreaticogastrostomy after pancreaticoduodenec tomy in 60 consecutive patients between August, 1993 and July, 1997, O ur improved pancreaticogastrostomy was made by implantation method wit h pancreatic duct stent. Two-layer fusion of anastomosis between full thickness or mucosa/submucosa of gastric wall and pancreatic parenchym a was completed via gastric lumen with gastrotomy in the anterior gast ric wall. The morbidity and mortality rates were 3% and 0%, respective ly. There was absolutely no pancreatic leakage, and no postoperative c omplications directly related to the pancreaticogastrostomy, The bigge st advantage of this procedure was to be able to anastomose in a good field of vision via gastric lumen with gastrotomy in the anterior gast ric wall, This improved pancreaticogastrostomy seemed to be technicall y very easy and a safe method.