Mosca F, Giulianotti P C, Arganini M, Brandi L S, Selli M
Ital J Surg Sci. 1984;14(4):313-20.
30 cases of pancreaticoduodenectomy with pylorus preservation are reported. The operative mortality has been 6,6%. Technical details of the operation are discussed and the importance of maintaining an optimal vascularization of the duodenal wall is stressed. Long term results (maximum follow-up 2 years) seem to be excellent with a clear improvement of the digestive function as compared to the traditional pancreatectomy with gastric resection. Jejunal ulcerative complications have not been observed. It is believed that pylorus preservation should become the operation of choice in pancreatectomy performed for benign diseases.
报告了30例保留幽门的胰十二指肠切除术。手术死亡率为6.6%。讨论了手术的技术细节，并强调了维持十二指肠壁最佳血管化的重要性。长期结果（最长随访2年）似乎非常好，与传统的胃切除胰腺切除术相比，消化功能有明显改善。未观察到空肠溃疡性并发症。据信，保留幽门应成为良性疾病胰腺切除术的首选术式。
