Subtotal Stomach-Preserving Pancreaticoduodenectomy (SSPPD) Prevents Postoperative Delayed Gastric Emptying

被引：46

作者：

Kurahara, Hiroshi ^{[1
]}

Takao, Sonshin ^{[2
]}

Shinchi, Hiroyuki ^{[1
]}

Mataki, Yuko ^{[1
]}

Maemura, Kousei ^{[1
]}

Sakoda, Masahiko ^{[1
]}

Ueno, Shinichi ^{[1
]}

Natsugoe, Shoji ^{[1
]}

机构：

[1] Kagoshima Univ, Grad Sch Med Sci, Dept Surg Oncol & Digest Surg, Kagoshima 8908520, Japan

[2] Kagoshima Univ, Frontier Sci Res Ctr, Kagoshima 8908520, Japan

来源：

JOURNAL OF SURGICAL ONCOLOGY | 2010年 / 102卷 / 06期

关键词：

pylorus-preserving pancreaticoduodenectomy (PPPD); lymph node dissection; postoperative complication; INTERNATIONAL STUDY-GROUP; PANCREATIC SURGERY ISGPS; PYLORUS PRESERVATION; DISTAL STOMACH; DEFINITION; STANDARD; IMPACT; PANCREATICOGASTROSTOMY; COMPLICATIONS; RESECTION;

D O I：

10.1002/jso.21687

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

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 DOE 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 decieased postoperative DOE when RLND is involved A randomized control trial of SSPPD versus PPPD should be considered. J Surg Oncol. 2010:102:615-09. (C) 2010 Wiley-Liss, Inc

引用

页码：615 / 619

页数：5

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