[Early and late results of pancreatoduodenectomies in chronic pancreatitis].

Reported in this paper are early and late results obtained from pancreatoduodenectomy on 51 patients for chronic pancreatitis. Reference is made to the symptoms of the disease as well as to diagnosis and indications for surgery. Three different approaches were taken by the authors to the caudal section of the pancreas, with "mucosa-to-mucosa" anastomosis between pancreatic duct and jejunum being considered the best of them. Postoperative complications occurred to 15.7 per cent of the patients (n = 51), and only one of them died. Late results were characterised by deterioration, which was in agreement with the literature. Mortality during an average follow-up period of 34.1 months went up to 17.6 per cent. At that time, 60.8 per cent of the above patients were assigned to the group with "good" surgical outcome.