Pylorus-preserving Pancreatoduodenectomy and Pylorus-resecting Pancreatoduodenectomy for Carcinoma of the Head of the Pancreas

Junichi Kamiya, Masato Nagino, Katsuhiko Uesaka, Norihiro Yuasa, Tsuyoshi Sano and Yuji Nimura

The First Department Surgery, Nagoya University School of Medicine

Since January 1990, 23 patients with pancreatic head carcinoma underwent pylorus-preserring pancreatoduodenectomy (PPPD), and since August 1995, six patients underwent pylorus-resecting pancreatoduodenectomy (PRPD) when the carcinoma involved the anterior superior capsule of the head of the pancreas or the first portion of the duodenum. Survival curves were calculated for patients undergoing PPPD/PRPD and for standard pancreatoduodenectomy (PD), which was performed in 53 patients before December 1989. No significant difference in survival was found between the PPPD/PRPD group and the PD group with a 1-year survival of 51% and 43%, and a 3-year survival of 7% and 13%, respectively. PPPD/PRPD is applicable to the treatment of patients with pancreatic head carcinoma from the viewpoint of survival time.

Key words
carcinoma of the head of the pancreas, pylorus-preserving pancreatoduodenectomy, pylorus-resecting pancreatoduodenectomy

Reprint requests
Junichi Kamiya First Department of Surgery, Nagoya University School of Medicine 65 Turumai-cho, Showa-ku, 466-8550 JAPAN

Accepted
January 27, 1999

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