Postoperative nutritional benefits of proximal parenchymal pancreatectomy for low-grade malignant lesions in the pancreatic head

Umemoto, Kazufumi; Tsuchikawa, Takahiro; Nakamura, Toru; Okamura, Keisuke; Noji, Takehiro; Asano, Toshimichi; Nakanishi, Yoshitsugu; Tanaka, Kimitaka; Hirano, Satoshi

Postoperative nutritional benefits of proximal parenchymal pancreatectomy for low-grade malignant lesions in the pancreatic head

Umemoto, Kazufumi; Tsuchikawa, Takahiro; Nakamura, Toru et al.

HPB, 2019, 21(11), 1491-1496

Permalink : https://hdl.handle.net/2115/79652

このアイテムのアクセス数:525件（2026-10-07 06:47 集計）

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https://doi.org/10.1016/j.hpb.2019.03.359			20

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アクセス権	open access
URI	https://hdl.handle.net/2115/79652
タイトル	Postoperative nutritional benefits of proximal parenchymal pancreatectomy for low-grade malignant lesions in the pancreatic head
著者	Umemoto, Kazufumi ; Tsuchikawa, Takahiro ; Nakamura, Toru ; Okamura, Keisuke ; Noji, Takehiro ; Asano, Toshimichi ; Nakanishi, Yoshitsugu ; Tanaka, Kimitaka ; Hirano, Satoshi
著者名 Umemoto, Kazufumi
e-Rad_Researcher 50507572 著者名 Tsuchikawa, Takahiro
e-Rad_Researcher 70645796 著者名 Nakamura, Toru
e-Rad_Researcher 90724401 著者名 Okamura, Keisuke
e-Rad_Researcher 10739296 著者名 Noji, Takehiro
e-Rad_Researcher 10756688 著者名 Asano, Toshimichi
e-Rad_Researcher 40447058 著者名 Nakanishi, Yoshitsugu
e-Rad_Researcher 10758642 著者名 Tanaka, Kimitaka
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
発行日	2019-11
出版者	Elsevier
収録物名	HPB
巻(号)	21(11)
ページ	1491-1496
抄録	Background: Outcomes of proximal parenchymal pancreatectomy (PPP) as compared to pancreatoduodenectomy (PD) have not been reported. The aim of this study was to describe the short- and long-term outcomes of patients with low-grade pancreatic head lesions who underwent PPP or PD. Methods: Patients who underwent PPP or PD for low-grade lesions between 2009 and 2017 were included. Operative factors including postoperative complications and nutritional indicators during the first-year postoperatively were compared. Results: A total of 13 and 14 patients underwent PPP and PD respectively. The PPP group demonstrated significantly less intraoperative blood loss and shorter postoperative hospital stay than the PD group. No significant differences were noted in the incidence of postoperative complications between the two groups. Nutritional indices were significantly better in the PPP group at 3 months post-surgery, but these nutritional indices were not significantly different at 6 months and 1-year. None of 12 patients who underwent PPP and did not require biliary resection developed postoperative cholangitis. None of the 12 PPP patients without preoperative diabetes developed impaired glucose tolerance after surgery. Discussion: The complication rate of PPP is equivalent to that of PD. PPP demonstrated better short-term nutritional status than PD. Moreover, preservation of the total duodenum and bile duct may reduce the risk of developing postoperative diabetes and cholangitis.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
PISSN	1365-182X
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1016/j.hpb.2019.03.359