Pancreaticobiliary Drainage by T-tube, A Promising Technique for Prevention of Pancreatic Leakage following Pancreaticoduodenectomy (Whipple Surgery)

Peri-ampullary and pancreatic head cancer can cause significant morbidity and mortality among gastrointestinal malignancies in human beings because of its important anatomy and physiology.[1] This tumor is responsible for about 150,000 deaths annually all over the world, and is categorized as the 5th leading causes of death among the malignancies. [2] Pancreaticoduodenectomy (PD) is the complex palliative procedure for patients affecting peri-ampullary and pancreatic head tumors, benign neoplasm and for other conditions such as chronic pancreatitis showing obstructive jaundice as a common symptom, which was first time invented by Whipple et al.[3-7] Despite best palliative and occasionally curativeness of this procedure, there are some contraindications for the surgery including: Metastasis to distant organs, tumor infiltration to mesenteric and portal vessels and affecting small bowel mesentery by tumoral mass.[8]