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Clinical experience with duodenum‐preserving total resection of the head of the pancreas with pancreaticocholedochoduodenostomy
Author(s) -
Imaizumi Toshhide,
Hanyu Fujio,
Suzuki Mamoru,
Nakasako Toshiaki,
Harada Nobuhide,
Hatori Takashi
Publication year - 1995
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02348286
Subject(s) - medicine , duodenum , pancreatic head , pancreas , head of pancreas , pylorus , surgery , resection , digestive tract , general surgery , stomach , gastroenterology
The results of duodenum‐preserving total resection of the head of the pancreas (DpTRHP) in 20 patients were compared with the results of pylorus‐preserving pancreatico‐duodenostomy (PpPD), a procedure in conventional use for the treatment of benign diseases, in 19 patients. The mean operative time for DpTRHP was 4.5±0.9 h, this being not significantly different from that for PpPD, whereas the mean intraoperative blood loss with DpTRHP (825±508ml) was significantly less than that with PpPD (1382±798 ml) ( P <0.05). The morbidity and mortality rates of patients treated with DpTRHP were 25% and 0%, respectively, and there were no significant differences between the two surgical treatment groups for these values. The outcome of treatment with DpTRHP was excellent, as was that of PpPD, in terms of the frequency of early gastric stasis, the duration of hospital stay, the patient's capacity for taking food, gaining weight, and working, and the performance status 6 months postoperatively. Thus, DpTRHP, which entails the least extent of resection of the head of the pancreas compared to other currently employed procedures and enables the operator to accomplish reconstruction of the pancreatic and biliary systems without resecting or interrupting the continuity of the digestive tract, was not attended by any serious complications, while, digestive tract function was well preserved, and satisfactory results were produced.