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USING OF NOVEL DOUBLE INVAGINATED PANCREATOJEJUNOSTOMY TECHNIQUE WITH TRANSANASTOMOTIC STENTING AND EXTERNAL PANCREATIC DUCT DRAINAGE: PRELIMINARY REPORT.

Following the pancreatoduodenectomy the pancreatic anastomosis, which is still "Achilles" heel of pancreatic surgery, carries the highest risk of leak and cause of morbidity and mortality. More than 80 different methods of reconstruction have been proposed, illustrating the complexity of surgical techniques as well as the absence of the "ideal" pancreatic anastomosis and gold standard up to date. Here, we describe the novel method of double invaginated pancreatojejunostomy with transanastomotic stent and external pancreatic duct drainage. The preliminary results obtained with the described method are very encouraging and indicate that this technique is less complicated and time consuming,very safe, simple, easy to perform and also applicable almost to all situations.