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Subtotal stomach‐preserving pancreaticoduodenectomy (SSPPD) prevents postoperative delayed gastric emptying
Author(s) -
Kurahara Hiroshi,
Takao Sonshin,
Shinchi Hiroyuki,
Mataki Yuko,
Maemura Kousei,
Sakoda Masahiko,
Ueno Shinichi,
Natsugoe Shoji
Publication year - 2010
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21687
Subject(s) - medicine , pancreaticoduodenectomy , gastric emptying , gastroenterology , incidence (geometry) , guideline , dissection (medical) , stomach , surgery , pancreas , pathology , physics , optics
Background and Objectives 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. J. Surg. Oncol. 2010;102:615–619. © 2010 Wiley‐Liss, Inc.