Complications - Pylorus-preserving duodenohemipancreatectomy according to Traverso-Longmire with T-drainage (pp-Whipple)

1.1 Injury to Organs

• Stomach: very rare deserosation possible > Oversewing
• Intestine: rare deserosation possible > Oversewing
• Liver: rare bleeding or bile leak > Electrocoagulation, liver suture

1.2 Vascular Injuries

• Portal vein/Superior mesenteric vein: possible during resection > Oversewing, partial resection and end-to-end suture
• Common hepatic artery, right, left: possible with severe inflammation > Patch, partial resection and end-to-end suture
• Injury to the transverse mesocolon with perfusion disorder of the transverse colon: very rare > Resection of the ischemic bowel segment and end-to-end anastomosis

Avoidance of intraoperative complications through careful dissection!