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.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.