The surgical procedure and clinical results of subtotal stomach preserving pancreaticoduodenectomy (SSPPD) in comparison with pylorus preserving pancreaticoduodenectomy (PPPD).
BACKGROUND
Subtotal stomach preserving pancreaticoduodenectomy (SSPPD) is compared retrospectively with pylorus preserving pancreaticoduodenectomy (PPPD).


METHODS
During 2002-2005, 21 patients (13 female, 8 male) underwent SSPPD. The mean age was 64.3 (range 33-80). PPPD was performed for 12 patients after 1999. Days of hospital stay, operation time, operative blood loss, postoperative morbidity and mortality, days of nasogastric intubation, days until liquid diet, delayed gastric emptying, postoperative change of serum Albumin value, were compared between SSPPD and PPPD. Clinical characteristics (age, gender, benign, or malignant condition, presence of preoperative jaundice, preoperative value of serum Albumin) were analyzed in both procedures.


RESULTS
In comparison of clinical characteristics, all factors were similar between PPPD and SSPPD. There were also quite similar results in days of hospital stay, operation time, operative blood loss, postoperative morbidity and mortality. Days of nasogastric intubation, days until liquid diet in PPPD were significantly longer than those in SSPPD and the incidence of delayed gastric emptying in PPPD was significantly higher than that in SSPPD. Finally, PPPD and SSPPD postoperative change of serum Albumin value were statistically similar.


CONCLUSIONS
We consider SSPPD as one of the most favorable procedures in patients who undergo pancreaticoduodenectomy.
Hayashibe
Akira
A
Department of Surgery, Bell Land General Hospital, 500-8 Higashiyama, Sakai-city, Osaka 599-8247, Japan. akirah1@hotmail.com
Kameyama
Masao
M
Shinbo
Masaya
M
Makimoto
Shinichiro
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater; D001650:Bile Duct Neoplasms / Q000601:surgery; D016063:Blood Loss, Surgical; D003138:Common Bile Duct Neoplasms; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D015390:Gastric Bypass; D005746:Gastric Emptying; D006801:Humans; D007441:Intubation, Gastrointestinal; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000379:methods* / Q000401:mortality*; D011708:Pylorus; D012189:Retrospective Studies; D012709:Serum Albumin / Q000032:analysis*; D013270:Stomach
D012709:Serum Albumin