A modified technique of pancreatojejunostomy.

The leading cause of morbidity following pancreatic resections is constituted by pancreatic fistulae. Several methods are used for the prevention of this problem, although the ideal solution is still being searched for. The authors modified the technique of single-layer end-to-side pancreatojejunostomy, creating the anastomosis with special interrupted stitches. 45 patients were operated on for benign or malignant pancreatic diseases and none of them had pancreatic fistula as a complication. The method is technically easy to perform and seems to be safe.