Pancreas preserving distal duodenectomy: A versatile operation for a range of infra-papillary pathologies

Table 2 Pathology and outcome

No.	Diagnosis	Total lymph nodes	Nodes +ve	Proximal margin (mm)	Blood transfusion (units)	Length of stay (d)	FU (mo)	Complications	Outcome
1	Adenocarcinoma Mod diff pT4 Nx Mx G2 V0 R0	0	-	15	0	4	72	-	Alive, disease free2
2	Adenocarcinoma Mod diff pT3 N0 Mx G2 V1 R0	4	0	55	NR	14	155	-	Alive, disease free
3	Adenocarcinoma Mod diff T4 N1 Mx V0 G2 R0	11	1	30	0	13	181	Recurrence	Died (distant metastases)2
4	Adenocarcinoma Poorly diff T4 N2 Mx V1 G3 R0	29	16	62	0	5	13	-	Alive, disease free2
5	Adenocarcinoma Mod diff pT3 N0 M0 V1 G2 R0	7	0	30	0	14	15	Incisional hernia at 1 yr	Alive, disease free
6	Adenocarcinoma Mod diff pT3 N0 Mx V1 G2 R0	19	0	25	0	6	7	-	Alive, disease free
7	Adenocarcinoma of colon	10	1		2	7	100	-	Alive, disease free2
8	GIST (low grade malignant potential)	0	0		0	4	48	-	Alive, disease free
9	GIST (low grade malignant potential)	0	0		0	10	36	Anast. stricture; GJ at 2 yr	Alive, disease free
10	GIST (low grade malignant potential)	1	0		0	8	10	-	Alive, disease free
11	GIST (low grade malignant potential)	6	0		0	6	5	-	Alive, disease free
12	Villous adenoma (high grade dysplasia)	NR	-		8	19	21	Ascitic leak (cirrhotic)	Died of unrelated causes
13	Tubulovillous adenoma (high grade dysplasia)	NR	-		NR	21	126	OPSI	Alive, disease free
14	Tubular adenoma (high grade dysplasia)	NR	-		0	8	1021	-	Died of unrelated causes
15	Tubular adenoma (low grade dysplasia)	NR	-		0	18	146	Postoperative pneumonia	Alive, disease free
16	Multiple tubular adenomas (low grade dysplasia)	1	0		0	7	8	-	Alive, disease free
17	Lipoma	NR	-		NR	10	168	-	Alive, disease free
18	Bleeding duodenal diverticulum	NR	-		NR	13	144	-	Alive, disease free
19	Superior mesenteric artery syndrome	NR	-		0	5	12	Poor pain control, N&V	Alive, disease free

¹Postoperative death;

²Received adjuvant chemotherapy. Mod diff: Moderately differentiated; NR: Not relevant; GIST: Gastrointestinal stromal tumour; GJ: Gastrojejunostomy; OPSI: Overwhelming postsplenectomy infection; N&V: Nausea and vomiting.