title: No-touch pylorus-resecting pancreatoduodenectomy can reduce postoperative complications even in low volume center.
abstract: OBJECTIVE
  Pancreatoduodenectomy (PD) was performed for 6 periampullary cancer patients by using methods verified by quality randomized controlled trials (RCT) in a low-volume center (LVC). The purpose of this study was to verify the clinical results.
  
  
  METHODS
  No-touch pylorus-resecting pancreatoduodenectomy (PrPD), antecolic gastrojejunostomy, pancreatico-jejunostomy with a lost stent tube to the main pancreatic duct, and early removal of a prophylactic drain were performed.
  
  
  RESULTS
  The drain could be removed 4 days after operation, and no pancreatic fistula was observed in all cases. Solid food could be started on POD4 after removing the drain. Furthermore, postoperative systemic chemotherapy could be started earlier.
  
  
  CONCLUSIONS
  Although we have only a few PD cases a year in our institution, PD can be conducted safely without complications by using the methods verified by quality RCTs.
authors.affiliation: Department of Surgery, Taoka Hospital.
authors.forename: Hitomi
authors.initials: H
authors.lastname: Kamo
authors.forename: Seiki
authors.initials: S
authors.lastname: Tashiro
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yoshioka
authors.forename: Yuko
authors.initials: Y
authors.lastname: Sumise
authors.forename: Natsu
authors.initials: N
authors.lastname: Okitsu
authors.forename: Yukari
authors.initials: Y
authors.lastname: Harino
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yamaguchi
authors.forename: Shizuo
authors.initials: S
authors.lastname: Ikeyama
authors.forename: Akemi
authors.initials: A
authors.lastname: Yamanaka
mesh_terms: D000328:Adult; D000368:Aged; D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D011708:Pylorus / Q000601:surgery*