Pancreas-preserving duodenal resections vs pancreatoduodenectomy for groove pancreatitis. Should we revisit treatment algorithm for groove pancreatitis?

Table 5 Operative data and complications of pancreas-preserving duodenal resection, performed for isolated form of cystic dystrophy of the duodenal wall (July, 2020)

No.	PPDR	Blood loss, mL	Time, min	Postop stay, d	Morbidity (Сlavien-Dindo)
1	Intest pouch	150	280	14	No
2	Standard	200	310	15	No
3	DDA	50	250	21	Grade I, POPF A
4	Intest pouch	50	270	39	Grade IV, upper DJA leakage, converted in Roux-en-Y
5	Standard	100	270	12	No
6	DDA	50	260	18	Grade I, POPF A
7	Standard	50	220	12	No
8	Standard	150	245	12	No
9	Standard	100	235	11	No
10	Standard	100	200	17	Grade I, POPFA
11	Roux-en-Y	50	215	14	No
12	Standard	100	215	16	No
13	Roux-en-Y	50	195	15	No
14	Roux-en-Y	50	230	14	Grade I, POPF A
15	Roux-en-Y	50	225	16	No
	Mean value	87

PPDR: Pancreas-preserving duodenal resection; DDA: PPDR with duodeno-duodeno anastomosis reconstruction; DJA: Duodenojejunoanastomosis; Intest pouch: Pancreas-preserving duodenal resection with intestinal interposition reconstruction; Standard: Classical pancreas-preserving duodenal resection with one duodeno-jejuno anastomosis; Roux-en-Y: Pancreas-preserving duodenal resection with Roux-en-Y reconstruction; POPF: Postoperative pancreatic fistula.