Pylorus-Preserving Pancreatoduodenectomy: Experience in 20 Patients
Author Information
Author(s): J. Lerut, P.J. Luder, L. Krahenbuhl, P.H. Gertsch, L.H. Blumgart
Primary Institution: Department of Visceral and Transplantation Surgery, Inselspital, University Hospital, Berne, Switzerland
Hypothesis
Does pylorus-preserving pancreatoduodenectomy compromise survival in patients with ampullary cancer?
Conclusion
Pylorus-preserving pancreatoduodenectomy appears to be a valuable alternative for treating benign and selected malignant pancreaticobiliary diseases without compromising survival.
Supporting Evidence
- Post-operative mortality was 4% with one patient dying after total pancreatectomy.
- Eight patients experienced postoperative complications, including temporary pancreatic fistula and pneumonia.
- Seventeen patients surviving more than 6 months were assessed, with results judged as excellent in 7, good in 8, and bad in 2.
Takeaway
Doctors can remove part of the pancreas without taking out the stomach, which helps patients recover better and have fewer problems after surgery.
Methodology
The study involved 20 patients who underwent pylorus-preserving pancreatoduodenectomy, with follow-up assessments for complications and nutritional status.
Limitations
The study had a small sample size and a limited follow-up period for some patients.
Participant Demographics
12 men and 8 women, median age 59 years (range 27-71 years).
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