PANCREATIC RECONSTRUCTION AFTER PANCREATICODUODENECTOMY; INVAGINATION VERSUS DUCT-TO-MUCOSA PANCREATICOJEJUNOSTOMY.

Abstract

Background: Pancreaticoduodenectomy (PD) is a classic procedure performed for the
treatment of pancreatic diseases such as pancreatic cancer, chronic pancreatitis and periampullary
cancer. While the mortality and complication rates associated with PD have decreased over the past
decades, postoperative pancreatic fistula (POPF) remains an intractable complication of PD. The aim of
this work compare duct to mucosa and invagination pancreaticojejunostomy as regard incidence of
pancreatic fistula, operative time, postoperative morbidity and mortality and endocrine & exocrine
pancreatic function.