{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T11:07:58Z","timestamp":1758280078736,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,11,29]],"date-time":"2018-11-29T00:00:00Z","timestamp":1543449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Sympathetic denervation of the antropyloric area combined with relative devascularization from division of the right gastric vessels (RGV) during pancreaticoduodenectomy (PD) could predispose to delayed gastric emptying (DGE). Therefore, some authors advocated for RGV preservation (RGVP), where feasibility and utility for the prevention of post\u2010operative DGE have never been investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 2011 to 2014, patients who underwent classic Whipple PD (CWPD, <jats:italic>n<\/jats:italic>\u2009=\u200934), standard pylorus\u2010preserving PD (PPPD, <jats:italic>n<\/jats:italic>\u2009=\u200944) or PPPD with RGVP (<jats:italic>n<\/jats:italic>\u2009=\u200922) were retrospectively analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>RGVP was not possible in 12% of the cases because of an intraoperative injury of the RGV. There was no difference between CWPD, standard PPPD and PPPD with RGVP in terms of intraoperative blood loss, operative time, number of lymph node harvested and resection margins. Post\u2010operative morbidity and mortality were comparable between the three groups, including rate (27%, 34% and 32%, <jats:italic>P<\/jats:italic>\u2009=\u20090.77) and severity of DGE, delay in removing nasogastric tube and use of prokinetics. Hospital stay was similar in all the compared groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first study comparing post\u2010operative outcomes after PPPD with RGVP, standard PPPD and CWPD. Although feasible and safe, RGVP during PPPD appeared to offer no obvious clinical benefit in terms of preventing post\u2010operative complications, especially DGE.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14956","type":"journal-article","created":{"date-parts":[[2018,11,30]],"date-time":"2018-11-30T00:26:05Z","timestamp":1543537565000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Pancreaticoduodenectomy with right gastric vessels preservation: impact on intraoperative and postoperative outcomes"],"prefix":"10.1111","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1820-3362","authenticated-orcid":false,"given":"Johan","family":"Gagni\u00e8re","sequence":"first","affiliation":[{"name":"Department of Digestive and Hepatobiliary Surgery University Hospital of Clermont\u2010Ferrand  Clermont\u2010Ferrand France"},{"name":"U1071 Inserm\/Clermont Auvergne University  Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertrand","family":"Le Roy","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepatobiliary Surgery University Hospital of Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Veziant","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepatobiliary Surgery University Hospital of Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Pereira","sequence":"additional","affiliation":[{"name":"Biostatistics, D\u00e9l\u00e9gation \u00e0 la Recherche Clinique et \u00e0 l'Innovation University Hospital of Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raja R.","family":"Narayan","sequence":"additional","affiliation":[{"name":"Department of Surgery Stanford University  Stanford CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Pezet","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepatobiliary Surgery University Hospital of Clermont\u2010Ferrand  Clermont\u2010Ferrand France"},{"name":"U1071 Inserm\/Clermont Auvergne University  Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Buc","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepatobiliary Surgery University Hospital of Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5216-538X","authenticated-orcid":false,"given":"Aur\u00e9lien","family":"Dupr\u00e9","sequence":"additional","affiliation":[{"name":"Department of Surgery L\u00e9on B\u00e9rard Cancer Center  Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-194111440-00008"},{"key":"e_1_2_7_3_1","first-page":"959","article-title":"Preservation of the pylorus in pancreaticoduodenectomy","volume":"146","author":"Traverso LW","year":"1978","journal-title":"Surg. 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