32% patients were lost to followup. Median followup in rest of the patients was 21months±24.5 SEM (Range 1-96).Mean Overall survival inpatients with adenocarcinoma of head of pancreas,periampullary ductal adenocarcinoma, distal cholangiocarcinoma,ampullary cancers, duodenal adenocarcinoma were 11.3months±1.27 SEM, 49months ±9.0 SEM, 22.3months±8.08 SEM and 26.3months±9.6 SEM, and 88.0months respectively. There were four in hospital

mortalities(3.9%) causes being gastric necrosis in one, grade C pancreatic fistula with MODSin one (patient with PNET of pancreatic head who had previously undergone segment 6& 7 resection for liver metastasis 5 years back),one due to grade B pancreatic fistula with lymphorrhea and intrabdominal sepsis for Pancreatic adenocarcinoma, one due to bleeding from hepatic duct stump in a patient requiring portal vein resection. Selleck Kinase Inhibitor Library Conclusion: PD could be performed with low mortality over entire study period. Key Word(s): 1. Pancreatic cancer; 2. Surgery; 3. Complications; Metabolism inhibitor 4. Survival; Presenting Author: HUANG YONGHUI Additional Authors: WANG YE, ZHANG LI, SONG ZHIQIANG Corresponding Author: HUANG YONGHUI Affiliations: Peking University Third Hospital Objective: mediastinal pseudocyst and pancreatico-bronchial fistula is a very rare complication of pancreatitis, and successful treatment of pancreatico-bronchial fistula by stenting of the pancreatic duct have not been described before. Methods: A

41-year-old male with a history of alcohol abuse was admitted with dyspnea, pleuritic chest pain and hemoptysis. He had acute pancreatitis and pancreatic almost pseudocyst one year ago. Chest X ray showed bilateral pleural effusion, Pleural fluid was exudative(protein 2.14 g/dl and LDH 781U/L) with a markedly elevated amylase level (153140IU/L); cell count was 1420/mm3, 55% lymphocytes, no malignant cells; ADA25.2U/L; Culture was sterile. Computerized tomography scan showed bilateral pleural effusion with compressive collapse of left lung , pericardial effusion and a posterior mediastinal cyst adjacent to the esophagus and heart, extending to the pancrea. It also showed

pancreatic pseudocyst communicating with the mediastinal cyst (Figure). Under bronchoscopy, bloody secretions can be seen in left B10 bronchial, and the pancreatic amylase level of BALF is 35093U/L. Results: So the diagnosis of pancreatic pseudocyst with pancreaticopleural fistula ,pancreatico-bronchial fistula and mediastinal pseudocyst was made. Endoscopic retrograde cholangiopancreatography confirmed a disrupted pancreatic duct, and a plastic stent was placed (Figure ). Conclusion: After the procedure, the chest pain, hemoptysis and pleural effusion was disappear. 6 month later, the stent was removed, and follow-up ERCP and CT showed complete disappearance of pancreaticopleural fistula, pleural effusion, pericardial effusion, pancreatic pseudocyst and mediastinal pseudocyst.( Figure ) Key Word(s): 1. bronchial fistula; 2. acute pancreatitis; 3. stent; 4.