title: The surgical procedure and clinical results of subtotal stomach preserving pancreaticoduodenectomy (SSPPD) in comparison with pylorus preserving pancreaticoduodenectomy (PPPD).
abstract: 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.
authors.affiliation: Department of Surgery, Bell Land General Hospital, 500-8 Higashiyama, Sakai-city, Osaka 599-8247, Japan. akirah1@hotmail.com
authors.forename: Akira
authors.initials: A
authors.lastname: Hayashibe
authors.forename: Masao
authors.initials: M
authors.lastname: Kameyama
authors.forename: Masaya
authors.initials: M
authors.lastname: Shinbo
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Makimoto
mesh_terms: 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
chemical_list: D012709:Serum Albumin