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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Comparison Study Between Classical Whipple’s Resection and Pylorus Preserving Pancreaticoduodenectomy in Carcinoma Pancreas

Syed Faizel Chemban, Fousad Chemban, Fathima Farzeen Akkare and P. T. Jasmine
Page: 146-152 | Received 04 Sep 2023, Published online: 30 Sep 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.9.146.152

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Abstract

The aim of this study was to compare the results of Pylorus‐Preserving Pancreatico‐Duodenectomy (PPPD) and Classical Whipple’s operation, especially with respect to duration of surgery, blood loss, hospital stay, and complications, in carcinoma pancreas.A prospective, non‐randomized study was done to compare the results of Pylorus‐Preserving Pancreatico‐Duodenectomy (PPPD) (Group A) and Classical Whipple's operation (Group B) in carcinoma pancreas, especially in terms of the length of surgery, the amount of blood lost, the length of time spent in the hospital, and the number of complications. Each study group included 25 individuals who underwent pancreatic cancer surgery and were followed up on for six months afterward. The study results suggest that people who received Whipple resection exhibited a greater average time of surgery and a higher need for blood transfusions in comparison to those who underwent pylorus‐preserving pancreatico‐duodenectomy. Group B (WHIPPLES) had superior post‐operative weight gain and overall outcome in comparison to other groups. The study found that there were comparable rates of complications and deaths in both groups. The postoperative pathological examination indicated that both groups achieved margin‐free excision, according to oncological criteria. Therefore, a surgical approach that preserves the pylorus and aligns with physiological considerations would be a more acceptable alternative for treating carcinoma of the pancreas.The study suggests that, when possible, pylorus‐preserving pancreatic duodenectomy should be used as the preferred management approach for all operable instances of pancreatic and peripancreatic cancer.

How to cite this article:

Syed Faizel Chemban, Fousad Chemban, Fathima Farzeen Akkare and P. T. Jasmine. A Comparison Study Between Classical Whipple’s Resection and Pylorus Preserving Pancreaticoduodenectomy in Carcinoma Pancreas.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.146.152
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.146.152