Pancreas-preserving total duodenectomy versus standard pancreatoduodenectomy for patients with familial adenomatous polyposis and polyps in the duodenum

S. M.M. De Castro, C. H.J. Van Eijck, J. P. Rutten, C. H. Dejong, H. Van Goor, O. R.C. Busch, D. J. Gouma*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

55 Citations (Scopus)
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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.

Original languageEnglish
Pages (from-to)1380-1386
Number of pages7
JournalBritish Journal of Surgery
Volume95
Issue number11
DOIs
Publication statusPublished - Nov 2008

Bibliographical note

Copyright © 2008 British Journal of Surgery Society Ltd

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