Abstract
In 30 patients with severe chronic pancreatitis, duodenum-preserving resection of the head of the pancreas with denervation of the left pancreas was performed. The objective of this surgical therapy is excision of the inflammatory tumor in the region of the head of the pancreas and cutting off of all nerve fibers of the body and tail of the pancreas. Reconstruction with drainage of the pancreatic secretion from the left pancreas into the upper intestinal tract takes place through end-to-side or side-to-side jejunal loop anastomosis. The limited operative intervention at the head of the pancreas and the preservation of the duodenum explain the preservation of the endocrine and exocrine function of the pancreas. As a result of the operation 85.7% of the patients were completely free of abdominal pain and 75% returned to their former occupation. During the late follow-up period, glucose metabolism was unchanged or improved in 70% of the patients. In 7 patients, there was stenosis with wall rigidity in the common bile duct. In these patients, common bile duct-duodenal anastomosis was carried out. In 3 patients a Partington modification was performed between the left pancreas and the jejunal interponate.
