Back to Search
Start Over
Pancreas-preserving total duodenectomy versus standard pancreatoduodenectomy for patients with familial adenomatous polyposis and polyps in the duodenum
- Source :
- British journal of surgery, 95(11), 1380-1386. John Wiley and Sons Ltd, British Journal of Surgery, 95(11), 1380-6. Wiley, British Journal of Surgery, 95, 11, pp. 1380-6, British Journal of Surgery, 95, 1380-6
- Publication Year :
- 2008
-
Abstract
- Background Pancreas-preserving total duodenectomy (PPTD) was introduced as a replacement for pancreatoduodenectomy (PD) for familial adenomatous polyposis (FAP). This study analysed the results of PPTD in the Netherlands and reviewed the relevant literature. Methods All 26 patients who underwent PPTD for FAP in four centres in the Netherlands between January 2000 and January 2007 were compared with a group of 77 patients who had PD for ampulla of Vater adenocarcinoma at one centre during the same interval. Results Morbidity rates were similar after PPTD for FAP (16 patients, 62 per cent) and PD for ampulla of Vater adenocarcinoma (44 patients, 57 per cent) (P = 0·694). One patient (4 per cent) died after PPTD and two (3 per cent) after PD. A review of the literature, including patients from the present study, found that 71 patients had PPTD, with postoperative morbidity in 36 (51 per cent) and one death (1 per cent). In publications containing a total of 94 patients who underwent PD for FAP, 43 (46 per cent) developed complications and three (3 per cent) died. Conclusion PPTD has similar short-term results to PD in terms of morbidity and mortality.
- Subjects :
- Adult
Male
Ampulla of Vater
medicine.medical_specialty
Common Bile Duct Neoplasms
Adenocarcinoma
Gastroenterology
Pancreaticoduodenectomy
Familial adenomatous polyposis
Duodenectomy
Total duodenectomy
Postoperative Complications
Interventional oncology [UMCN 1.5]
Internal medicine
medicine
Humans
Pancreas surgery
Pancreas
business.industry
medicine.disease
digestive system diseases
Surgery
Pathogenesis and modulation of inflammation [N4i 1]
Treatment Outcome
medicine.anatomical_structure
Adenomatous Polyposis Coli
Duodenum
Female
business
Subjects
Details
- Language :
- English
- ISSN :
- 00071323
- Database :
- OpenAIRE
- Journal :
- British journal of surgery, 95(11), 1380-1386. John Wiley and Sons Ltd, British Journal of Surgery, 95(11), 1380-6. Wiley, British Journal of Surgery, 95, 11, pp. 1380-6, British Journal of Surgery, 95, 1380-6
- Accession number :
- edsair.doi.dedup.....2929810248561797b3f03ac645725857