TY - JOUR
T1 - Pylorus-preserving pancreaticoduodenectomy versus conventional Whipple operation
AU - Di Carlo, Valerio
AU - Zerbi, Alessandro
AU - Balzano, Gianpaolo
AU - Corso, Vittorio
PY - 1999/9
Y1 - 1999/9
N2 - During 1990 to 1997 a series of 39 patients underwent a classic pancreaticoduodenectomy and 74 a pylorus-preserving pancreaticoduodenectomy for pancreatic adenocarcinoma. The two groups had similar tumor characteristics and received comparable adjuvant treatments. No significant differences were found between the two groups in terms of mortality, morbidity, gastric emptying, food intake resumption, and hospital stay. Postoperative survival was not affected by the preservation of the pylorus, determined by both univariate and multivariate analyses. Postoperative nutritional outcome was similar in the two groups, although patients receiving adjuvant chemotherapy had a better nutritional recovery if the whole stomach was preserved. In our opinion pylorus-preserving pancreatoduodenectomy is the treatment of choice of pancreatic head cancer.
AB - During 1990 to 1997 a series of 39 patients underwent a classic pancreaticoduodenectomy and 74 a pylorus-preserving pancreaticoduodenectomy for pancreatic adenocarcinoma. The two groups had similar tumor characteristics and received comparable adjuvant treatments. No significant differences were found between the two groups in terms of mortality, morbidity, gastric emptying, food intake resumption, and hospital stay. Postoperative survival was not affected by the preservation of the pylorus, determined by both univariate and multivariate analyses. Postoperative nutritional outcome was similar in the two groups, although patients receiving adjuvant chemotherapy had a better nutritional recovery if the whole stomach was preserved. In our opinion pylorus-preserving pancreatoduodenectomy is the treatment of choice of pancreatic head cancer.
UR - http://www.scopus.com/inward/record.url?scp=0032770612&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032770612&partnerID=8YFLogxK
U2 - 10.1007/s002689900600
DO - 10.1007/s002689900600
M3 - Article
C2 - 10449821
AN - SCOPUS:0032770612
VL - 23
SP - 920
EP - 925
JO - World Journal of Surgery
JF - World Journal of Surgery
SN - 0364-2313
IS - 9
ER -