The article represents results of the study held by the personnel of the National Institute of Surgery and Transplantology after A.A. Shalimov and National Institute of Cancer, with a total of 35 pancreatoduodenectomies performed, followed by reconstruction pancreatogastrostomy. Key advantages of the pancreatogastrostomy method from both anatomical-physiological and surgical difficulty views are described in the article. Aims: To analyze the pancreatogastrostomy efficiency as reconstruction stage by assessment of its technical aspects and postoperative complication incidence analysis.

abdominal mass in (28.6%) cases. All 35 patients had curative resection including pancreaticoduodenectomy, central pancreatectomy and distal pancreatectomy. POPF developed in 4 cases (8.6%), biliary leakage occurred in 8 cases (22.9%). The recurrence rate was (12%) after 3 years postoperatively. No hospital mortality, all patients except 2 patients (5.7%) were alive at follow up period. The estimated 1, 3, and 5 year survival rate was 95%, 95%, and 88%. Conclusion: SPT are increasing in last years in our locality. It is presented more in young females. The tumour was located in the head in majority of cases. Aggressive surgical resection is needed even in presence of local invasion, and also for recurrence as patients had a good long term survival.

Conclusion: The incidence of DGE after pancreaticodudenectomy is notable even in patients without other abdominal complications. Identification of patients at increased risk for DGE can be used to make more informed decisions regarding selective use of pylorus-sparing pancreaticoduodenectomy, enteral feeding access, nasogastric tubes, and adjustment of enhanced recovery pathways.