Subtotal Stomach-Preserving Pancreaticoduodenectomy (SSPPD) Prevents Postoperative Delayed Gastric Emptying

Background and Objectives: Delayed gastric emptying (DGE) is one of main complications after pylorus-preserving pancreaticoduodenectomy (PPPD) with regional lymph node dissection (RLND) The aim of this study was to retrospectively investigate whether subtotal stomach-preserving PD (SSPPD) decreased incidence of DGE. Methods: This study included 112 consecutive patients underwent PPPD (n = 48) or SSPPD (n = 64) with/without RLND. DGE was classified into three categories (grades A. B, and C) according to the guideline proposed by the International Study Group of Pancreatic Surgery Results: The incidence of DOE grade B/C in SSPPD with RLND (13.0%) was lower compared with that (34.8%) in PPPD with RLND (P = 0.0326). Consequently. the mean length of postoperative hospital stay of SSPPD with RLND group was significantly shorter than that of PPPD with RLND (P = 0 0476) Conclusions: SSPPD could be substituted for PPPD due to decieased postoperative DOE when RLND is involved A randomized control trial of SSPPD versus PPPD should be considered. J Surg Oncol. 2010:102:615-09. (C) 2010 Wiley-Liss, Inc