Pancreatic Anastomosis After Duodenopancreatectomy

Inclusion Criteria: * Patients over 18 years old. * Diagnosis of pancreatic and periampullary tumor pathology that requires pancreatoduodenectomy * Signature of informed consent by the patient or his legal representative Exclusion Criteria: * Patients in whom liver metastases or peritoneal carcinomatosis are detected during surgery. * Patients in whom tumor resection is ultimately not achieved due to intraoperative evidence that the tumor is locally advanced, unresectable. * Patients with macroscopic residual tumor (R2). * High risk patients with severe pathology (ASA IV) according to the American Association of Anesthetists.