RESULTS OF PANCREATODUODENECTOMY DEPENDING ON THE PANCREATIC GLAND TEXTURE AND PANCREATIC DUCT DIAMETER.

The main purpose of this study was to conduct retrospective clinical analysis of patients with malignant tumor of the periampullary zone who underwent Whipple procedure surgery depending on the pancreatic thickness and pancreatic duct diameter and to assess the development of pancreatic fistulas in the postoperative period. A retrospective review was performed to 108 patients with resectable periampular zone tumors. All patients were divided into two groups depending on the pancreatic thickness, 58 (53.7%) patients in soft thickness, 50 (46.3%) patients in hard thickness. In two groups, pancreatic fistulas were observed in 27 (25.0%) patients, where the majority of cases occurred with soft gland in 20 (18.6%) patients than with hard gland in 7 (6.4%) patients. Thus, the efficiency of pancreatojunoanastomosis formation depends on the pancreatic thickness and the pancreatic duct diameter. Pancreatic fistula after pancreatoduodenal resection was more observed with soft gland than with hard gland, and with a pancreatic duct diameter of more than 3.0 mm, pancreatic fistula developed 2 times less than with a diameter of less than 3.0 mm.