Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access |

Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc |

Journal website http://www.gastrores.org |

Original Article

Volume 12, Number 5, October 2019, pages 256-262

**Pancreaticoduodenectomy With Arterial Approach of Total Mesenteric Resection of the Pancreas for Pancreatic Head Cancer**

Figures

Tables

Groups | Operation time (min) | Intra-operative blood loss (mL) |
---|---|---|

Group A is the PD group with TMpE resection, and group B is the traditional PD group. SEM: standard error of mean; PD: pancreaticoduodenectomy; TMpE: total mesopancreas excision. *P < 0.001. | ||

Group A | 321.43 ± 43.03 | 366.07 ± 109.76 |

Group B | 333.66 ± 29.77 | 557.81 ± 119.89 |

T value | -1.262 | -6.427 |

P value | 0.213 | < 0.001* |

Groups | R0 cut number | R0 resection rate |
---|---|---|

Group A is the PD group with TMpE resection, and group B is the traditional PD group. PD: pancreaticoduodenectomy; TMpE: total mesopancreas excision. *P < 0.05. | ||

Group A (24/28) | 24 | 85.71% |

Group B (20/32) | 20 | 62.50% |

X^{2} | 4.115 | |

P value | 0.042* |

Groups | Total | Incidence rate | Infection | Postoperative bleeding | Pancreatic fistula | Biliary fistulae | Diarrhea | Delayed gastric emptying |
---|---|---|---|---|---|---|---|---|

Group A is the PD group with arterial priority approach TMpE resection, and group B is the traditional PD group. PD: pancreaticoduodenectomy; TMpE: total mesopancreas excision. | ||||||||

Group A | 7 | 25.00% (7/28) | 1 | 0 | 2 | 0 | 3 | 1 |

Group B | 9 | 28.13% (9/32) | 2 | 1 | 2 | 0 | 2 | 2 |

X^{2} | 0.075 | |||||||

P value | 0.785 |

Groups | Three months after surgery | Six months after surgery | Twelve months after surgery |
---|---|---|---|

Group A is the PD group with TMpE resection, and group B is the traditional PD group. PD: pancreaticoduodenectomy; TMpE: total mesopancreas excision. *P < 0.05. | |||

Group A | 0 | 1 | 2 |

Group B | 1 | 4 | 9 |

X^{2} | 0.609 | 4.391 | |

P value | 1 | 0.435 | 0.036* |