Duodenum and ventral pancreas preserving subtotal pancreatectomy for low-grade malignant neoplasms of the pancreas: An alternative procedure to total pancreatectomy for low-grade pancreatic neoplasms

Table 1 Preoperative characteristics and final pathologic features of 23 patients in the duodenum and ventral pancreas preserving subtotal pancreatectomy and total pancreatectomy groups n (%)

Patient characteristics	DVPPST(n = 10)	TP (n = 13)	P vaule
Age (range, yr)	49 ± 16.9 (24-71)	56 ± 10.1 (40-70)	0.256
Gender (%)			0.680
Male	4 (40)	7 (54)
Female	6 (60)	6 (46)
Major comorbidity
CAD	0	1	1.000
COPD	1	2	1.000
DM	2	3	1.000
Hypertension	3	3	1.000
Preoperative symptoms
Incidental	0	2 (15)	0.486
Symptomatic (%)	10 (100)	11 (85)
Abdominal pain	4 (40)	6 (55)	1.000
Pancreatitis	1	4	0.339
Weight loss	1	4	0.339
Gastrointestinal symptoms	4	3	0.65
ASA score			1.000
I/II	7	10
III	3	3
Pathology (%)			0.411
IPMN	6 (60)	11 (85)
Low-grade moderate-grade dysplasia	2	1	0.515
High-grade dysplasia	3	4	0.644
Invasive carcinoma	1 (16.7)	5 (45.5)	0.333
Neuroendocrine tumor	2	1
G 2	2	1	1.000
SPT	2	1
Total invasive malignancy	1 (10)	5 (38.5)	0.179

CAD: Coronary artery disease; COPD: Chronic obstructive pulmonary disease; DM: Diabetes mellitus; IPMN: Intraductal papillary mucinous neoplasm; SPT: Pseudo-papillary tumor; DVPPSP: Duodenum and ventral pancreas preserving subtotal pancreatectomy.