Outcomes of pancreatogastrostomy with gastric partition after pylorus-preserving pancreaticoduodenectomy with gastric partition.

Abstract Introduction Pylorus-preserving pancreatoduodenectomy with gastric partition (PPPD-GP) seems to be associated to a better postoperative outcome than conventional pancreaticojejunostomy in the setting of a prospective-randomised study. The aim of this study is to further evaluate the surgical outcome in a series of 129 consecutive patients. Methods Between 2007 and June 2013, 129 patients with periampullary tumours surgically treated with PPPD-GP were retrospectively analysed. Surgical complications (Clavien–Dindo score), as well as pancreatic and non-pancreas related complications were analysed. Results Overall postoperative complication rate was 77%, although 50% of complications were graded I – II by the Clavien–Dindo classification. Incidence of clinically relevant pancreatic fistula was 18%: ISGFP type B: 12%, and type C: 6%. Other pancreas specific complications such as delayed gastric emptying and pospancreatectomy haemorrhage were 27% and 15%, respectively, similar to results published in the literature. Overall perioperative mortality rate was 4.6%. Conclusion PPPD-GP results show that it is a technique with an acceptable morbidity, low mortality and pancreatic fistula rate similar to other techniques currently described of pancreaticoenteric reconstruction.