Author:
Shchepotin I. B,Lukashenko A. V,Klimnyuk G. I,Kolesnik E. A,Priymak V. V
Abstract
Pancreatic tumours are rare at a young age. For malignancies affecting the head of the pancreas the optimal surgical treatment is pancreaticoduodenectomy (PD). Due to the rare experience of pancreaticoduodenectomy in children, most of the information reported in the literature has been provided in the form of isolated case reports. Material and methods. We performed new type of reconstruction after PD in children. Our reconstructive method aims at a complete separation of passage of gastric contents, bile and pancreatic juice. Thus we prevent any types of possible refluxes and related complications (pancreatic leakage, cholangitis, gastric ulceration). Results. The method has been effectively performed is two patients: 5 year girl, 1 year and 10 month boy with a solid pseudopapillary tumour and malignant teratoma in the head of the pancreas. In postoperative period we did not registered any sights of pancreatic fistula. Patients were discharge on days 9 and 11 respectively. Conclusion. In view of the absence of the data about later physiological outcomes after PD in children we propose our method of pancreaticobiliary reconstruction as safe and physiologically appropriable. PD for children should be performed in institutions where experienced hepato-pancreato-biliary surgeons using modern surgical technologies perform a high volume of cases.