Second-stage pancreatojejunostomy following pancreatoduodenectomy in high-risk patients.

Tube pancreatostomy for complete external drainage of pancreatic juice following pancreatoduodenectomy and a subsequent second-stage pancreatojejunostomy were carried out in four high-risk patients without morbidity. This procedure avoids the fatal outcome associated with pancreatojejunal anastomotic leakage following pancreatoduodenectomy in emergency and high-risk cases.