简介:MeSHpancreaticoduodenectomy;pancreaticanastomoticleak;fistulaofpancreas;periampullarycarcinoma;jaundicecomplicationcarcinomaofpancreas;ABSTRACYObjectTopreventpancreaticanastomoticleakbythecomprehensiveleakproofmeasuresforpancre-aticoduodenectomy.MethodsFromDecember1981toJune2002,128consecutivepatientsunderwentpancreati-coduodenectomy.127casessufferedfromthemalignantdiseaseandonefromchronicpancreatitis.Theauthorperformedtheoperationsandadoptedthecomprehensivemeasurestopreventpancreaticanastomoticleak.Themeasuresweremainly