Whipple’s cephalic pancreaticoduodenectomy versus pyloric-preserving pancreaticoduodenectomy. Retrospective study

• Published in: Cirugia española (English ed.) 2024-05, Vol.102 (5), p.265-274
• Main Authors: Justo Alonso, Iago, Marcacuzco Quinto, Alberto, Caso Maestro, Oscar, Alonso Murillo, Laura, Rioja Conde, Paula, Fernández Fernández, Clara, Jiménez Romero, Carlos
• Format: Article
• Language: English
• Subjects: Ampullary cancer; Cephalic pancreatic cancer; Cáncer de cabeza de pancreas; Cáncer periampular; Delayed gastric emptying; Duodenopancreatectomía cefálica de Whipple; Duodenopancreatectomía con preservación pilórica; Duodenopancreatectomía con resección pilórica; Pylorus-preserving pancreaticoduodenectomy; Pylorus-resecting pancreaticoduodenectomy; Retraso del vaciamiento gástrico; Whipple pancreaticoduodenectomy
• ISSN: 2173-5077; 2173-5077
• DOI: 10.1016/j.cireng.2024.02.007

[Display omitted] Controversy exists in the literature as to the best technique for pancreaticoduodenectomy (PD), whether pyloric preservation (PP-CPD) or Whipple's technique (with antrectomy [W-CPD]), the former being associated with a higher frequency of delayed gastric emptying (DGE). Retrospective and comparative study between PP-CPD technique (n = 124 patients) and W-CPD technique (n = 126 patients), in patients who were operated for tumors of the pancreatic head and periampullary region between the period 2012 and 2023. Surgical time was longer, although not significant, with the W-CPD technique. Pancreatic and peripancreatic tumor invasion (p = 0.031) and number of lymph nodes resected (p