A non-standard surgicall approach in malignant retroperitoneal tumor treatment was used, which includes simultaneous resection and reconstruction of the infrarenal segment of aorta and inferior vena cava. The total vascular recunstrustion time was 40 minutes and 15 minutes out of total time was arterial ischemia. The postoperative period was complicated by the right urethral fistula and the limited fluid concentration in the surgical area. On day 25th of the post-operative period patient discharged from the hospital. We believe that such a tactic can be safe and effective in case of meticulous patients selection and the multidisciplinary and multi-team approaches application.

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.

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