Subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) prevents postoperative delayed gastric emptying.
OBJECTIVE
Delayed gastric emptying (DGE) is one of main complications after pylorus-preserving pancreaticoduodenectomy (PPPD) with regional lymph node dissection (RLND). The aim of this study was to retrospectively investigate whether subtotal stomach-preserving PD (SSPPD) decreased incidence of DGE.


METHODS
This study included 112 consecutive patients underwent PPPD (n = 48) or SSPPD (n = 64) with/without RLND. DGE was classified into three categories (grades A, B, and C) according to the guideline proposed by the International Study Group of Pancreatic Surgery.


RESULTS
The incidence of DGE grade B/C in SSPPD with RLND (13.0%) was lower compared with that (34.8%) in PPPD with RLND (P = 0.0326). Consequently, the mean length of postoperative hospital stay of SSPPD with RLND group was significantly shorter than that of PPPD with RLND (P = 0.0476).


CONCLUSIONS
SSPPD could be substituted for PPPD due to decreased postoperative DGE when RLND is involved. A randomized control trial of SSPPD versus PPPD should be considered.
Kurahara
Hiroshi
H
Department of Surgical Oncology and Digestive Surgery, Graduate School of Medical Sciences, Kagoshima University, Japan. h-krhr@m3.kufm.kagoshima-u.ac.jp
Takao
Sonshin
S
Shinchi
Hiroyuki
H
Mataki
Yuko
Y
Maemura
Kousei
K
Sakoda
Masahiko
M
Ueno
Shinichi
S
Natsugoe
Shoji
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005746:Gastric Emptying; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D011708:Pylorus / Q000601:surgery*; D019651:Plastic Surgery Procedures