There is growing interest in QT dispersion as a marker for arrhythmia potential being a marker of inhomogenicity of ventricular repolarization. The QT dispersion is increased in myocardial ischemia and infarction, and levels are higher in patients with ventricular arrhythmias. This study was performed to assess QT dispersion in patients with acute myocardial infarction treated with thrombolytic therapy with successful reperfusion versus those who treated with thrombolytic therapy with failed reperfusion and those who treated with conventional therapy and to correlate between QT dispersion and the complicating serious ventricular arrhythmias following acute myocardial infarction. And it is also performed to assess the influence of age, sex, obesity, smoking, diabetes mellitus, hypertension and site of infarction on QT dispersion. The study included 100 patients with recent acute myocardial infarction and they are classified to 3 groups:Group 1: 30 patients who received streptokinase with successful reperfusion.Group 2: 30 patients who received streptokinase with failed reperfusion.Group 3: 40 patients who did not receive streptokinase (control group).Every patient was subjected to full history taking and thorough clinical examination. Analysis of serum electrolytes (Na, K and ca) was done and cases showing abnormal results were excluded. Serum CPK was checked on admission, after 6 hours, after 12 hours and after 24 hours after onset of thrombolytic therapy. ECG was done for every patient on admission, two hours post thrombolytic therapy and predischarge in groups I and 2. In group 3, ECG was done on admission and predischarge.The study concluded that:In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .The results were statistically analyzed and diagnostic accuracy of Doppler ultrasonography in the prediction, diagnosis and prognosis of endometrial carcinoma are calculated .In this study , 75 patients included presented by abnormal uterine bleeding . Histological examination reveals that 15 cases (20%) proved to be endometrial carcinoma , 46 cases (61%) endometrial hyperplasia , 2 cases (3%) secretory endometrium , 5 cases (7%) proliferative endometrium , 6 cases (8%) atrophic endometrium , and only 1 case (1%) proved to be endometrial polyp . The sonographic finding in cases of endometrial carcinoma were charecterized by an endometrial thickness more than 10 mm . Non of the cases of endometrial carcinoma had endometrial thickness less than 10 mm , while all cases of atrophic endometrium had endometrial thickness less than 5mm . 32.6 % of cases of endometrial hyperplasia had endometrial thickness 5-10 mm , while 67.4 % more than 10 mm . The mean endometrial thickness of non malignant group was 11.23 + 6.04 while in malignant group was 20.67 + 6.58 and this was statistically significant (p< 0.001)Endometrial thickness greater than 13 mm , which is hypoechoic or inhomogenous with presence of intratumoral blood vessels with RISUMMARYEndomtrial carcinoma is the commonest invasive malignancy of the female genital tract in both the united kingdom and united states of America . It is the fourth commonest cancer in women and the most curable of the 10 most common cancers in women.Recents reports have investigated the role of transvaginal color Doppler ultrasonography as a means of detecteding gynecologic malignancies. Assessment of tumor angiogenesis using color Doppler ultrasound provides useful information for the preoperative prediction regarding stage, depth of myometrial invasion and presence of lymph node metastasis in patients with endometrial carcinoma .In this study , two groups of patient were included. Non malignant group comprised 60 patients and malignant group comprised 15 patients.All the patients in both groups were subjected to through history , through clinical examination and then TVS with color flow and pulsed Doppler study and finally from every patient endometrial biopsy was taken which was subjected to:- Routine histopathological examination .This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.SUMMARY AND CONCLUSIONPreservation of the gastric antrum and pylorus during pancteaticoduodenectomy represents one of the recent advances in pancreatic surgery and is on example of the modern surgical proposal to respect human physiology as much as possible.This study was conducted in general surgery department, Zagazig university hospital between September 2004 and December 2005 on 23 patients presented with pancreatic cancer. 12 patients (52.2%) underwent PPPD and 11 patients (47.8 %) the Whipple procedure.In this study, there were no significant differences in the age, sex, tumor localization and staging between both groups.There was no significant difference between PPPD and the Whipple operation in terms of operating time, blood loss, hospital stay and blood transfusion. Both PPPD and the Whipple procedure were associated with a low mortality rate and few major operative complications. PPPD was associated with more frequent delayed gastric emptying, although more patients are needed to demonstrate this conclusively.Pylorus-preserving pancreaticoduodenectomy has operative mortality and morbidity rates more or less similar to those seen with the standard Whipple resection and does not impair radicality in the treatment of pancreatic cancer. It probably offers long-term digestive function in patients with pancreatic cancer that was reflected by better nutritional results.We conclude that PPPD represents an important advance in the history of pancreatic surgery. the operation has comparable results with the standard Whipple resection. Although delayed gastric emptying may be more frequently seen with PPPD, this complication is easily managed, and is hardly a frequent long-term problem.Thus, we conclude that both procedures are equally effective for treatment of pancreatic cancer.