Low incidence of pancreatic fistula and well‐preserved endocrine function with non‐reconstructed small remnant pancreas after pancreaticoduodenectomy

Pancreatic reconstruction after pancreaticoduodenectomy (PD) that leaves a small remnant pancreas is often difficult. Pancreatic fistula is a major complication after PD, and fistulas are rare in patients with hard pancreas. However, the clinical impact of non-reconstructed small remnant after PD with hard pancreas is unknown.