Pancreas preserving duodenectomy (PPrD).
Am J Surg
; 2024 Apr 16.
Article
en En
| MEDLINE
| ID: mdl-38641448
ABSTRACT
BACKGROUND:
Pancreaticoduodenectomy has been the standard of care for managing duodenal neoplasms, but recent studies show similar overall and disease-specific survival after pancreas-preserving duodenectomy (PPrD) with potentially less morbidity.METHODS:
Retrospective cohort of all adult (age >18) patients who underwent PPrD with curative intent of a neoplasm in or invading into the duodenum at our institution from 2011 to 2022 (n â= â29), excluding tumors involving the Ampulla of Vater or the pancreas. Statistical analyses were performed using STATA.RESULTS:
R0 resection was achieved in 93 â% patients. Ten (34.4 â%) experienced postoperative complications (13.7 â% within Clavien-Dindo III-V). PPrD patients had lower rates of pancreatic leak, delayed gastric emptying, and deep surgical site infection.CONCLUSIONS:
In this case series, we demonstrate PPrD is safe and effective, with a high rate of complete resection and lower complication rate than that seen in pancreaticoduodenectomy.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Am J Surg
Año:
2024
Tipo del documento:
Article