Saudi Journal of Gastroenterology
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Year : 2010  |  Volume : 16  |  Issue : 2  |  Page : 75-78

Pylorus preserving pancreaticoduodenectomy for peri-ampullary carcinoma, is it a good option?


Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Faisal Alsaif
Department of Surgery, College of Medicine, King Saud University, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.61231

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Pancreaticoduodenectomy (PD) is the standard surgical treatment for resectable peri-ampullary tumors. It can be performed with or without pylorus preservation. Many surgeons have a negative opinion of pylorus preserving PD (PPPD) and consider it an inferior operation, especially from an oncological point of view. This article reviews the various aspects of PD in the context of operative factors like blood loss and operation time, complications such as delayed gastric emptying and anastomotic leaks, and the impact on quality of life and survival. We aim to show that PPPD is at least as good as classic PD, if not better in some aspects.


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