Pylorus resection in partial pancreaticoduodenectomy

• Verfasst von: Hackert, Thilo [VerfasserIn]
• Verfasst von: Hinz, Ulf [VerfasserIn]
• Verfasst von: Hartwig, Werner [VerfasserIn]
• Verfasst von: Strobel, Oliver [VerfasserIn]
• Verfasst von: Fritz, Stefan [VerfasserIn]
• Verfasst von: Schneider, Lutz [VerfasserIn]
• Verfasst von: Werner, Jens [VerfasserIn]
• Verfasst von: Büchler, Markus W. [VerfasserIn]
• Titel: Pylorus resection in partial pancreaticoduodenectomy
• Titelzusatz: impact on delayed gastric emptying
• Verf.angabe: Thilo Hackert, M.D., Ulf Hinz, M.Sc., Werner Hartwig, M.D., Oliver Strobel, M.D., Stefan Fritz, M.D., Lutz Schneider, M.D., Jens Werner, M.D., Markus W. Büchler, M.D.
• E-Jahr: 2013
• Jahr: 24 June 2013
• Umfang: 4 S.
• Fussnoten: Gesehen am 04.02.2021
• Titel Quelle: Enthalten in: The American journal of surgery
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1926
• Jahr Quelle: 2013
• Band/Heft Quelle: 206(2013), 3, Seite 296-299
• ISSN Quelle: 1879-1883
• DOI: doi:10.1016/j.amjsurg.2012.10.042
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Delayed gastric emptying
• Sach-SW: Partial pancreaticoduodenectomy
• Sach-SW: Pylorus resection
• K10plus-PPN: 1747210633

Abstract

Background - Partial pancreaticoduodenectomy (PD) is complicated by postoperative delayed gastric emptying (DGE) in up to 45% of patients. The aim of this study was to evaluate the impact of pylorus resection on DGE following PD. - Methods - Forty PD patients underwent pylorus resection with complete stomach preservation (prPD). They were compared with a pair-matched group of PD patients with pylorus preservation (ppPD) in a 1:1 ratio (age, sex, histopathology). The objectives were operative parameters, DGE incidence, morbidity, and length of hospital stay. - Results - DGE incidence was significantly lower after prPD (15.0% vs 42.5%; P = .0066). Operative parameters and surgical morbidity (other than DGE) were not different (27.5% prPD vs 30.0% ppPD). There was a trend toward a shorter hospital stay in the prPD group. - Conclusions - Resection of the pylorus with stomach preservation significantly reduces the frequency of DGE after PD without showing any disadvantage when compared with standard ppPD. This finding could be of high relevance for the clinical practice in routine PD and should consequently be investigated in a large randomized multicenter trial to create further evidence.