PMID: 8965594Jan 1, 1996Paper

Current indications for pylorus saving duodenopancreatic head resection in malignancy

Langenbecks Archiv für Chirurgie
H B ReithL W Traverso

Abstract

The Whipple procedure has been improved by preservation of a functioning pylorus. A functioning pylorus is important because marginal ulceration is avoided and, compared to the standard Whipple procedure with gastric resection, more patients can gain weight postoperatively. The most common indications are carcinomas of ampulla of Vater and periampullary tumors. In patients with pancreatic adenocarcinoma the pylorus-preserving variety results in equal or better survival rates. In 56 patients with pylorus preservation, 32 with ductal carcinoma, and 28 with Kausch-Whipple between 1985 and 1993, our results showed slightly better survival rates and better postoperative nutrition. The weakest aspect of the radical resection addresses the retroperitoneal margin of the pancreas head and not the gastric resection.

References

Feb 1, 1979·Annals of Surgery·J F Forrest, W P Longmire
Aug 1, 1986·The British Journal of Surgery·P A GraceW P Longmire
Oct 1, 1966·The Surgical Clinics of North America·C G Child, C F Frey
Sep 1, 1980·Annals of Surgery·L W Traverso, W P Longmire
Jan 1, 1994·Langenbecks Archiv für Chirurgie·D CarterJ R Siewert
Oct 1, 1935·Annals of Surgery·A O WhippleC R Mullins

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Citations

Dec 19, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C FitzmauriceM K Diener

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