Open AccessPylorus preserving pancreaticoduodenectomy for peri-ampullary carcinoma, is it a good option?
Author(s) -
Faisal Alsaif
Publication year - 2010
Publication title -
the saudi journal of gastroenterology/saudi journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.608
H-Index - 32
eISSN - 1998-4049
pISSN - 1319-3767
DOI - 10.4103/1319-3767.61231
Subject(s) - medicine , pancreaticoduodenectomy , pylorus , anastomosis , context (archaeology) , gastric emptying , pancreatic carcinoma , general surgery , surgery , gastroenterology , stomach , resection , cancer , pancreatic cancer , paleontology , biology
Pancreaticoduodenectomy (PD) is the standard surgical treatment for resectable peri-ampullary tumors. It can be performed with or without pylorus preservation. Many surgeons have a negative opinion of pylorus preserving PD (PPPD) and consider it an inferior operation, especially from an oncological point of view. This article reviews the various aspects of PD in the context of operative factors like blood loss and operation time, complications such as delayed gastric emptying and anastomotic leaks, and the impact on quality of life and survival. We aim to show that PPPD is at least as good as classic PD, if not better in some aspects.