ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Meta-Analysis |
Article Title |
Meta-analysis of subtotal stomach-preserving pancreaticoduodenectomy vs pylorus preserving pancreaticoduodenectomy
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Manuscript Source |
Unsolicited Manuscript |
All Author List |
Wei Huang, Jun-Jie Xiong, Mei-Hua Wan, Peter Szatmary, Shameena Bharucha, Ilias Gomatos, Quentin M Nunes, Qing Xia, Robert Sutton and Xu-Bao Liu |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Research Special Fund for Public Welfare Industry of Health |
201202007 |
Science and Technology Support Program of Sichuan Province |
2013SZ0078 |
National Institute for Health Research BRU Award |
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Corresponding Author |
Qing Xia, MD, Sichuan Provincial Pancreatitis Center, Department of Integrated Traditional Chinese Medicine and Western Medicine, West China Hospital, Sichuan University, Guo Xue Road 37, Chengdu 610041, Sichuan Province, China. xiaqing@medmail.com.cn |
Key Words |
Pancreaticoduodenectomy; Pylorus preserving Subtotal stomach preserving pancreaticoduodenectomy; Delayed gastric emptying; Pancreatic surgery; Meta-analysis |
Core Tip |
As far as we know, pancreatoduodenectomy is one of the most complicated gastrointestinal operations and is associated with a number of serious postoperative complications. Modifications of standard operating techniques aim to reduce the incidence of complications and improve quality of life of patients while maintaining oncological effectiveness. Subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) was specifically designed to reduce the incidence of delayed gastric emptying (DGE) and thus shorten recovery time in patients with pancreatic head and periampullary tumors. This study clarified that, compared to pylorus preserving pancreaticoduodenectomy (PPPD), SSPPD has a lower rate of DGE, shorter operation time and a shorter period of nasogastric intubation, albeit with no significant difference in pancreatic fistula and other postoperative complications. Therefore, SSPPD can improve intraoperative and short-term postoperative outcomes compared to PPPD for patients with pancreatic head and periampullary lesions. |
Publish Date |
2015-05-30 13:32 |
Citation |
Huang W, Xiong JJ, Wan MH, Szatmary P, Bharucha S, Gomatos I, Nunes QM, Xia Q, Sutton R, Liu XB. Meta-analysis of subtotal stomach-preserving pancreaticoduodenectomy vs pylorus preserving pancreaticoduodenectomy. World J Gastroenterol 2015; 21(20): 6361-6373 |
URL |
http://www.wjgnet.com/1007-9327/full/v21/i20/6361.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v21.i20.6361 |