Published online May 28, 2015. doi: 10.3748/wjg.v21.i20.6361
Peer-review started: September 4, 2014
First decision: September 27, 2014
Revised: October 10, 2014
Accepted: December 1, 2014
Article in press: December 1, 2014
Published online: May 28, 2015
Core tip: As far as we know, pancreatoduodenectomy is one of the most complicated gastrointestinal operations and is associated with a number of serious postoperative complications. Modifications of standard operating techniques aim to reduce the incidence of complications and improve quality of life of patients while maintaining oncological effectiveness. Subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) was specifically designed to reduce the incidence of delayed gastric emptying (DGE) and thus shorten recovery time in patients with pancreatic head and periampullary tumors. This study clarified that, compared to pylorus preserving pancreaticoduodenectomy (PPPD), SSPPD has a lower rate of DGE, shorter operation time and a shorter period of nasogastric intubation, albeit with no significant difference in pancreatic fistula and other postoperative complications. Therefore, SSPPD can improve intraoperative and short-term postoperative outcomes compared to PPPD for patients with pancreatic head and periampullary lesions.