title: Duodenum-preserving pancreatic head resection vs. pancreatoduodenectomy for benign lesions and low-grade malignancies of the pancreatic head.
abstract: OBJECTIVE
  To compare the postoperative results of duodenum-preserving pancreatic head resection (DPPHR) techniques with those of conventional pancreatoduodenectomy (PD).
  
  
  METHODS
  We retrospectively reviewed the records of 58 patients who underwent DPPHR or PD at Jinhua central hospital between May 1998 and May 2011.
  
  
  RESULTS
  Eighteen patients underwent DPPHR (Group 1) and 40 conventional PD (Group 2). They were followed up for more than 6 months. Operation time in Group 1 was longer (290±18 min vs 269±14 min, p=0.001). Estimated blood loss in Group 1 was more (633±88 mL vs. 495±131 mL, p=0.003). Intraoperative transfusion in Group 1 was more (533±88 mL vs. 335±218 mL, p=0,001). However, postoperative transfusion was Iess (141±162 mL vs. 440±193 mL, p=0.000). Group 1 had a lower short-term complication rate (16.67% vs. 50.0%, p=0.0 16) and long-term complication rate (11.11% vs. 45.0%, p=0.012). Hospital mortality of both groups were 0.
  
  
  CONCLUSIONS
  DPPHR for benign or premalignant lesions is a difficult procedure, but with a lower complication rate than conventional PD. Preserving the entire duodenum and a normal biliary tree allows better short-term and long-term results. DPPHR will be suitable for only a small group of patients and should be performed by experienced surgeons.
authors: Department ol Hepatobiliary-Pancreatic Surgery, Jinhua Central Hospital, Jinhua, China. daojun_gong@163.com
authors: Dao-Jun
authors: DJ
authors: Gong
authors: Jia-Min
authors: JM
authors: Zhang
authors: Gen-Jun
authors: GJ
authors: Mao
authors: Long-Tang
authors: LT
authors: Xu
authors: Rong-Jin
authors: RJ
authors: Wu
authors: Shi-An
authors: SA
authors: Yu
authors: Xiao-Kang
authors: XK
authors: Wu
authors: Xue-Min
authors: XM
authors: Li
authors: Wei
authors: W
authors: Shen
authors: Zhang-Dong
authors: ZD
authors: Zheng
mesh_terms: D000328:Adult; D001803:Blood Transfusion; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D060787:Neoplasm Grading; D010179:Pancreas / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies