Duct-to-mucosa pancreaticogastrostomy after pancreatoduodenectomy. Experience in 37 patients Background: Pancreatic reconstruction in pancreatoduodenectomy (PD) has many technical options. Evidence shows no difference in pancreatic fi stula rate or mortality between pancretogastrostomy and pancreaticojejunostomy reconstruction. Aim: To report the results of the technique used by our team to perform ductto-mucosa pancreaticogastrostomy (DMPG) in PD. Material and Methods: Follow up of 37 patients aged 53 ± 12 years (59% women), subjected to pancreatoduodenectomy, using DMPG. Perioperative complications were reported using the Dindo-Clavien classifi cation. Results: All patients had a pancreatic cancer. The tumor was located in the head or ampulla of Vater in 38% of patients. The most common histological type was adenocarcinoma in 33 patients (89%). Seventy three percent of patients did not have regional lymph node involvement (N0). Two patients died (5%). Postoperative complications were registered in 35% of patients. Two patients developed pancreatic fi stulas, that were type A and B I one patient each, according to the classifi cation of the International Study Group on Pancreatic Fistula. Conclusions: The morbidity and mortality associated with DMPG in PD in the reported cohort are comparable to those reported by other local studies.
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