New reconstruction technique after pancreaticoduodenectomy

Abstract

Background: pancreaticoduodenectomy (DPC) had 20% to 50% morbimortality; delayed gastric emptying and pancreatic fistula are the most frequent complications.
Objective: to show a new DPC reconstruction technique that brings together many of the concepts proposed by others, with the goal of reducing morbidity and mortality of DPC.
Setting: Sanatorio Parque, Rosario City.
Study design: observational, prospective.
Materials and methods: 8 pancreaticoduodenectomies (6 male patients aged between 45 and 79 years and 2 female aged 68 and 78 years). Gastrojejunostomy was done trans and inframesocolic with the first unresected jejunal loop; biliary and pancreatic drainage was constructed to an isolated, transmesocolic loop in a Roux en Y fashion.
Results: no patient presented delayed gastric emptying, and only 1 patient had pancreatic fistula that closed spontaneously after 20 days.
Conclusions: the use of this technique, must be revalidated in high-volume centers of pancreatic surgery; it seems to reduce complications associated with DPC.