title: [Current indications for pylorus saving duodenopancreatic head resection in malignancy].
abstract: The Whipple procedure has been improved by preservation of a functioning pylorus. A functioning pylorus is important because marginal ulceration is avoided and, compared to the standard Whipple procedure with gastric resection, more patients can gain weight postoperatively. The most common indications are carcinomas of ampulla of Vater and periampullary tumors. In patients with pancreatic adenocarcinoma the pylorus-preserving variety results in equal or better survival rates. In 56 patients with pylorus preservation, 32 with ductal carcinoma, and 28 with Kausch-Whipple between 1985 and 1993, our results showed slightly better survival rates and better postoperative nutrition. The weakest aspect of the radical resection addresses the retroperitoneal margin of the pancreas head and not the gastric resection.
authors.affiliation: Chirurgische Universitätsklinik Bochum, Knappschaftskrankenhaus.
authors.forename: H B
authors.initials: HB
authors.lastname: Reith
authors.forename: W
authors.initials: W
authors.lastname: Kozuschek
authors.forename: L W
authors.initials: LW
authors.lastname: Traverso
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008207:Lymphatic Metastasis; D009367:Neoplasm Staging; D010179:Pancreas / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011708:Pylorus / Q000473:pathology / Q000601:surgery; D015996:Survival Rate
vernacular_title: Aktuelle Indikationen zur pyloruserhaltenden Duodenopankreaskopfresektion beim Malignom.