Clinical efficacy of modified Takada procedure duodenum-preserving pancreatic head resection and pancreatoduodenectomy for the treatment of pancreatic head lesions
10.3760/cma.j.issn.1007-631X.2018.06.008
- VernacularTitle:改良Takada法保留十二指肠的胰头全切除与胰十二指肠切除治疗胰头部病变的临床疗效对比
- Author:
Yuanquan WANG
1
;
Jianguo LI
Author Information
1. 363000,福建医科大学附属漳州市医院普外一科
- Keywords:
Pancreatectomy;
Duodenum
- From:
Chinese Journal of General Surgery
2018;33(6):466-469
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of modified Takada procedure duodenum-preserving pancreatic head resection (DPPHR) and pancreatoduodenectomy (PD) for the treatment of pancreatic head lesions.Methods 6 cases of DPPHR with the modified Takada procedure were compared with 6 cases of classical PD.The clinical data were analyzed,and the short-term prognosis was compared.Results The operation time was(281.7 ±42.6)min in DPPHR group,and(308.3 ±41.1)min in PD group (P ＜ 0.05).The intraoperative blood loss were (300 ± 187) ml in DPPHR group and (270 ± 66) ml in PD group (P ＞ 0.05).The postoperative recovery time to oral food-intake and postoperative hospital stay were (3.7 ± 1.6) days and (6.8 ± 1.7) days in DPPHR group and (9.0 ±4.3) days and(14.8 ±2.1)days in the PD group (P ＜ 0.05).The KPS scores at 3 months and 6 months after operation in DPPHR group (90.0 ± 6.2,96.7 ±5.1) were better than that of the PD group (78.0 ±7.5,90.0 ±6.3) (P ＜0.05).There was no significant difference between the two groups in the complication rate and recurrence rate in this period of time(P ＞ 0.05).Conclusion DPPHR with the modified Takada procedure is safe and effective for the treatment of pancreatic head lesions.
