PANCREATICODUODENECTOMY WITH PYLORUS PRES ERVATION

The authors present an overview of the technique of pancreatoduodenect omy with pylorus preservation. The main technical variants since the o riginal description by Traverse and Longmire in 1978 are described. Ad vantages and drawbacks of the technique from a carcinologic and functi onal point of view are presented and discussed. Pancreatoduodenectomy with pylorus preservation appears to be the procedure of choice in mos t cases. However, it should be avoided in a few patients with invasion of the proximal duodenum by a periampullary carcinoma for whom a cura tive resection requires the addition of a gastrectomy.