Retrospective Study
Copyright ©The Author(s) 2017.
World J Gastroenterol. Oct 14, 2017; 23(38): 7025-7036
Published online Oct 14, 2017. doi: 10.3748/wjg.v23.i38.7025
Table 2 Operative data
VariableTotal, n = 1000First 10 yr, 1993-2002Second 10 yr, 2003-2012Last 5 yr, 2013-2017P-value
Cirrhosis129 (12.9)28 (9.3)62 (14)39 (15.1)0.009
Mass size in cm3 (0.5-15)333
< 2418 (41.8)123 (41)174 (39.4)123 (46.9)0.14
> 2582 (58.2)177 (59)268 (60.6)137 (53.1)
Pancreatic texture
Soft596 (59.6)190 (63.3)263 (59.5)143 (55.4)0.23
Firm404 (40.4)110 (36.7)179 (40.5)115 (44.6)
Median pancreatic duct diameter in mm5 (1-15)0.47
< 3313 (31.3)97(32.3)137 (30.9)79 (30.6)
> 3687 (68.7)20367.7)305 (60.1)179 (69.4)
Pancreatic duct to posterior border in mm0.45
< 3421 (42.1)128 (42.7)185 (41.9)108 (41.9)
> 3579 (57.9)172 (57.3)257 (58.1)150 (58.1)
Pancreatic stump mobilization in cm2 (1-4)2220.45
CBD diameter in mm15 (5-30)1515150.06
Type of reconstruction
PG791 (79.1)235 (78.3)417 (94.3)139 (53.9)0.0001
Simple PJ163 (16.3)65 (21.7)25 (5.7)73 (28.3)
Isolated loop PJ46 (4.6)0046 (17.8)
Duct to mucosa134 (13.4)9 (3)65 (14.7)60 (23.3)
Invaginated type with duct to mucosa644 (64.4)234 (78)250 (65.6)160 (62)0.0001
Invaginated type without duct to mucosa221 (22.1)57 (19)126 (28.5)38 (14.7)
No anastomosis1 (0.1)01 (0.2)0
Standard approach908 (90.8)277 (92.3)388 (87.8)243 (94.7)0.004
Posterior approach92 (9.2)23 (7.7)54 (12.2)15 (5.8)
Complete meso-pancreatectomy574 (57.4)83 (27.7)233 (52.7)258 (100)0.0001
Laparoscopic assisted PD11 (1.1)0011 (4.3)0.0001
Complete laparoscopic PD10 (1)0010 (3.9)
Vascular resection12 (1.2)04 (0.9)8 (3.1)0.003
Primary anastomosis003 (0.7)8 (3.1)
Gortex001 (0.2)0
Operative time in h5 (3.5-10)6550.001
Blood loss in cc500 (50-4000)5004003000.001

  • Citation: El Nakeeb A, Askar W, Atef E, Hanafy EE, Sultan AM, Salah T, shehta A, Sorogy ME, Hamdy E, Hemly ME, El-Geidi AA, Kandil T, Shobari ME, Allah TA, Fouad A, Zeid MA, Eneen AAE, El-Hak NG, Ebidy GE, Fathy O, Sultan A, Wahab MA. Trends and outcomes of pancreaticoduodenectomy for periampullary tumors: A 25-year single-center study of 1000 consecutive cases. World J Gastroenterol 2017; 23(38): 7025-7036
  • URL: https://www.wjgnet.com/1007-9327/full/v23/i38/7025.htm
  • DOI: https://dx.doi.org/10.3748/wjg.v23.i38.7025