Pancreaticoduodenectomy Versus Duodenum-Preserving Pancreatic Head Resection for the Treatment of Chronic Pancreatitis

Zheng, Zhihong; Xiang, Guangming; Tan, Chunlu; Zhang, Hao; Liu, Baowang; Gong, Jun; Mai, Gang; Liu, Xu-Bao

doi:10.1097/mpa.0b013e318221c91b

Cited by 23 publications

(22 citation statements)

References 39 publications

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“…Many previous studies revealed that the duodenum‐preserving procedure had significant benefits with regard to a low level of postoperative morbidity and mortality, the maintenance of pancreatic endocrine and exocrine functions, a low frequency of DGE and a higher quality of life score . However, our results yielded conflicting conclusions regarding the postoperative morbidity of DPPHR.…”

Section: Discussionmentioning

confidence: 55%

Robot‐assisted duodenum‐preserving pancreatic head resection with pancreaticogastrostomy for benign or premalignant pancreatic head lesions: a single‐centre experience

Jin

Zhan

et al. 2018

Robotics Computer Surgery

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Section: Discussionmentioning

confidence: 55%

Robot‐assisted duodenum‐preserving pancreatic head resection with pancreaticogastrostomy for benign or premalignant pancreatic head lesions: a single‐centre experience

Jin

Zhan

et al. 2018

Robotics Computer Surgery

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“…Two studies 22,27 have initially estimated the sample size for study. For the 10 observational studies, [17][18][19]21,24,25,[28][29][30][31] the risks of bias were evaluated by modification of the Newcastle-Ottawa Scale.…”

Section: Quality Of Included Studiesmentioning

confidence: 99%

Surgical Treatment Strategies in Chronic Pancreatitis

Yin¹,

Sun²,

Yin³

et al. 2012

Arch Surg

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Study Selection: All controlled experimental (randomized and nonrandomized) studies in which duodenumpreserving pancreatic head resection was compared with pancreaticoduodenectomy in chronic pancreatitis.Data Extraction: Data were extracted independently and in duplicate by 2 reviewers; discrepancies were resolved by discussion. Data Synthesis: A total of 1007 patients from 15 studies were included in the meta-analysis. The relative risks for postoperative pain relief and postoperative morbidity in the Beger procedure were 1.29 (95% CI, 1.03-1.61; P=.03) and 0.55 (0.

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“…The Partington and Rochelle procedure is common in surgical practice, with low morbidity and mortality. However, approximately 20% of patients with CP have a dominant inflammatory mass within the pancreatic head, which is identified as the leading site of the disease and causes the pain sensations of some patients [9]. The Frey procedure has been recommended by many surgical scholars because it allows for better pain relief than the Partington and Rochelle procedure [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…However, approximately 20% of patients with CP have a dominant inflammatory mass within the pancreatic head, which is identified as the leading site of the disease and causes the pain sensations of some patients [9]. The Frey procedure has been recommended by many surgical scholars because it allows for better pain relief than the Partington and Rochelle procedure [9,10]. Therefore, we also chose the Frey procedure, even without inflammatory masses at the pancreatic head, and there were no differences between the 2 procedures in terms of the time of operation, volume of lost tissue, or rate of early complications.…”

Section: Discussionmentioning

confidence: 99%

Drainage procedure for pancreatolithiasis: re-examination of the pancreatic duct diameter standard

et al. 2020

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Pancreatic duct decompression relieves pancreatic duct stone (PDS)-associated abdominal pain, though a consensus indication for the drainage procedure of the main pancreatic duct (MPD) is lacking. Moreover, major prognostic factors for postsurgical long-term pain relief and recurrence are largely unknown. Methods: The clinical outcomes of 65 consecutive PDS patients undergoing surgery from 2008-2012 with 3+ years of follow-up were assessed. Results: At postsurgical follow-up (median, 4.5 years; range, 3-7 years; procedure: Partington, n = 32; Frey, n = 27; pancreatoduodenectomy, n = 3; distal pancreatectomy, n = 3), the early complication and complete stone clearance rates were 29.2% and 97%, respectively. Long-term, complete and partial pain relief were 93.9%, 83.1%, and 10.8%, respectively. The risk of pancreatic fistula was higher in the <8 mm group than in the >8 mm group (P < 0.05), and 80% of the pancreatic fistula cases occurred in the <8 mm group. A shorter pain duration (P = 0.007), smaller MPD diameter (P = 0.04), and lower Izbicki pain score (P < 0.001) predicted long-term pain relief. Pain recurrence after initial remission occurred in 5 patients and was only related to pain duration (P = 0.02). Stone recurrence and pancreatic exocrine functional and endocrine functional deterioration occurred in 2, 5, and 11 patients, respectively. Conclusion: Surgery provides excellent stone clearance, long-term pain relief, and acceptable postoperative morbidity. Using 8 mm as the criterion for drainage surgery can minimize the postoperative pancreatic fistula risk. Individualized and timely surgical treatment may improve the effect of surgery.

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Pancreaticoduodenectomy Versus Duodenum-Preserving Pancreatic Head Resection for the Treatment of Chronic Pancreatitis

Abstract: Both procedures are equally effective in pain relief, but DPPHR is superior to PD in operative data, postoperative morbidity, improving quality of life, and preservation of exocrine and endocrine function.

Cited by 23 publications

References 39 publications

Robot‐assisted duodenum‐preserving pancreatic head resection with pancreaticogastrostomy for benign or premalignant pancreatic head lesions: a single‐centre experience

Robot‐assisted duodenum‐preserving pancreatic head resection with pancreaticogastrostomy for benign or premalignant pancreatic head lesions: a single‐centre experience

Surgical Treatment Strategies in Chronic Pancreatitis

Drainage procedure for pancreatolithiasis: re-examination of the pancreatic duct diameter standard

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