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World J Gastroenterol. Dec 28, 2013; 19(48): 9399-9404
Published online Dec 28, 2013. doi: 10.3748/wjg.v19.i48.9399
Published online Dec 28, 2013. doi: 10.3748/wjg.v19.i48.9399
Stapled gastro/duodenojejunostomy shortens reconstruction time during pylorus-preserving pancreaticoduodenectomy
Norihiro Sato, Kei Yabuki, Shiro Kohi, Yasuhisa Mori, Noritaka Minagawa, Toshihisa Tamura, Aiichiro Higure, Koji Yamaguchi, Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
Author contributions: Sato N and Yabuki K contributed equally to this work; Sato N, Yabuki K and Yamaguchi K designed the research; Sato N, Yabuki K, Kohi S, Mori Y, Minagawa N, Tamura T, Higure A and Yamaguchi K performed the research; Sato N and Yabuki K analyzed the data; Sato N wrote the paper.
Correspondence to: Norihiro Sato, MD, PhD, Department of Surgery 1, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi Ward, Kitakyushu 807-8555, Japan. norisato@med.uoeh-u.ac.jp
Telephone: +81-93-6917441 Fax: +81-93-6032361
Received: May 1, 2013
Revised: October 24, 2013
Accepted: November 2, 2013
Published online: December 28, 2013
Revised: October 24, 2013
Accepted: November 2, 2013
Published online: December 28, 2013
Core Tip
Core tip: The operative procedure of pylorus-preserving pancreaticoduodenectomy (PpPD) includes reconstruction of the pancreatic, biliary, and digestive systems, thus requiring a significant amount of time. We compared clinical outcomes between 19 patients who underwent PpPD with a stapled gastro/duodenojejunostomy and 19 patients who underwent PpPD with a conventional hand-sewn duodenojejunostomy. We demonstrate that stapled gastro/duodenojejunostomy shortens reconstruction time during PpPD without affecting the incidence of delayed gastric emptying.