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Int Surg J. 2016; 3(3): 1051-1060


Pancreas sparing duodenectomy versus pancreaticodudoenectomy for duodenal carcinoma: a comparison study

Maheswaran Pitchaimuthu, Mohammad S. Khan, S. Pearson, Chris Coldham, James Hodson, Ravi Marudanayagam, John K Roberts, Paolo Muiesan, John Isaac, Darius F. Mirza, Robert P. Sutcliffe.

Abstract
Background: Pancreas-sparing duodenectomy (PSD) may be an alternative to pancreaticoduodenectomy (PD) for duodenal cancers located distant from the ampulla. PSD avoids the potential complications of a pancreaticoenteric anastomosis, but the long-term outcomes are unknown.
Methods: Patients who underwent surgical resection of duodenal cancer were identified from a prospectively maintained database. Clinical and pathological data were collected, and long-term cancer-related outcomes were analyzed.
Results: 19 patients underwent PSD and 60 PD between January 1993 and March 2014. Morbidity (p=0.196), 90-day mortality (p=0.379) and length of stay (p=0.137) were similar in both groups. However, there were more anastomotic leaks in the PD group (33% versus. 5%; p=0.017). Lymph node yield (p

Key words: Pancreas sparing duodenectomy (PSD), Pancreatico duodenectomy (PD), Lymph node yield, Lymph node ratio (LNR), Survival



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