title: Outcomes of pancreatogastrostomy with gastric partition after pylorus-preserving pancreaticoduodenectomy with gastric partition.
abstract: BACKGROUND
  Pylorus-preserving pancreatoduodenectomy with gastric partition (PPPD-GP) seems to be associated to a better postoperative outcome than conventional pancreaticojejunostomy in the setting of a prospective-randomized study. The aim of this study is to further evaluate the surgical outcome in a series of 129 consecutive patients.
  
  
  METHODS
  Between 2007 and June 2013, 129 patients with periampullary tumors surgically treated with PPPD-GP were retrospectively analyzed. Surgical complications (Clavien-Dindo score), as well as pancreatic and non-pancreas related complications were analyzed.
  
  
  RESULTS
  Overall postoperative complication rate was 77%, although 50% of complications were graded I-II by the Clavien-Dindo classification. Incidence of clinically relevant pancreatic fistula was 18%: ISGFP type B: 12%, and type C: 6%. Other pancreas specific complications such as delayed gastric emptying and pospancreatectomy haemorrhage were 27 and 15%, respectively, similar to results published in the literature. Overall perioperative mortality rate was 4.6%.
  
  
  CONCLUSIONS
  PPPD-GP results show that it is a technique with an acceptable morbidity, low mortality and pancreatic fistula rate similar to other techniques currently described of pancreaticoenteric reconstruction.
authors.affiliation: Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic, Barcelona, España. Electronic address: ssanche1@clinic.ub.es.
authors.forename: Santiago
authors.initials: S
authors.lastname: Sánchez Cabús
authors.affiliation: Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic, Barcelona, España.
authors.forename: David
authors.initials: D
authors.lastname: Saavedra
authors.affiliation: Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic, Barcelona, España.
authors.forename: Jaime
authors.initials: J
authors.lastname: Sampson
authors.affiliation: Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic, Barcelona, España.
authors.forename: Marc
authors.initials: M
authors.lastname: Cubel
authors.affiliation: Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic, Barcelona, España.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: López-Boado
authors.affiliation: Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic, Barcelona, España.
authors.forename: Joana
authors.initials: J
authors.lastname: Ferrer
authors.affiliation: Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic, Barcelona, España.
authors.forename: Laureano
authors.initials: L
authors.lastname: Fernández-Cruz
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011708:Pylorus; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*; D016896:Treatment Outcome
keywords: Cirugía pancreática; Complicaciones; Complications; Delayed gastric emptying; Duodenopancreatectomía; Fístula pancreática; Pancreatic fistula; Pancreatic surgery; Pancreaticoduodenectomy; Pancreatogastrostomy; Pancreatogastrostomía; Retraso del vaciamiento gástrico