Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Saudi J Gastroenterol. 2010 Apr-Jun;16(2):75-8. doi: 10.4103/1319-3767.61231.
Pancreaticoduodenectomy (PD) is the standard surgical treatment for resectable peri-ampullary tumors. It can be performed with or without pylorus preservation. Many surgeons have a negative opinion of pylorus preserving PD (PPPD) and consider it an inferior operation, especially from an oncological point of view. This article reviews the various aspects of PD in the context of operative factors like blood loss and operation time, complications such as delayed gastric emptying and anastomotic leaks, and the impact on quality of life and survival. We aim to show that PPPD is at least as good as classic PD, if not better in some aspects.
胰十二指肠切除术（PD）是可切除的壶腹周围肿瘤的标准手术治疗方法。它可以在保留或不保留幽门的情况下进行。许多外科医生对保留幽门的胰十二指肠切除术（PPPD）持否定态度，认为它是一种劣等手术，尤其是从肿瘤学的角度来看。本文综述了 PD 在手术因素（如出血量和手术时间）、并发症（如胃排空延迟和吻合口漏）以及对生活质量和生存的影响等方面的各种情况。我们旨在表明，PPPD 至少与经典 PD 一样好，如果在某些方面更好的话。
