Table. 1.

Table. 1.

Case series of pancreatoduodenectomy with uncut Roux-en-Y reconstruction in patients with radical gastrectomy

Case 1 Case 2 Case 3 Case 4a) Case 5 Case 6b)
Sex/age (yr) M/71 M/65 M/63 M/75 M/64 F/79
Previous gastrectomy type RSTG & BI RSTG & BII RSTG & Roux-en-Y GJ RSTG & BII RSTG & BII RSTG & Roux-en-Y GJ
Stage (gastric cancer) pT1b pN0 pT0 pN0 pT2pN1 (Thought to be) Stage IA pT1a pN0 pT1apN0
Time intervalc) 15 years 12 years 37 months 31 years 11 years 2 years
Initial bilirubin (mg/dL) 2.2 2.8 2.4 5.5 0.9 0.5
Biliary decompression ERBD PTBD, ERBD PTBD PTBD PTBD, ERBD None
Preoperative bilirubin (mg/dL) 0.7 0.6 1.5 0.9 0.9 0.3
Pancreatoduodenectomy (OP date) 2020-09-29 2020-10-14 2021-06-30 2021-07-01 2022-04-13 2022-06-08
Diagnosis Bile duct cancer Bile duct cancer Bile duct cancer AoV cancer AoV adenoma Pancreatic cancer
Stage (AJCC 8th ) pT2 pN0 ypT1 ypN0 pT3a pN1 pT1b pN1a ypT2N0
OP time (min) 355 355 430 130 249 232
EBL (mL) 200 400 600 100 250 100
Transfusion None None None none None None
LOH 11 8 9 23 13 10
POPF None None BL Grade B BL None
DGE None None None None None None
30-day mortality None None None None None None
90-day mortality None None None None NA NA
Follow-up (mon)d) 21 20 12 11 2 1

M, male; F, female; OP, operation; RSTG, radical subtotal gastrectomy; GJ, gastrojejunostomy; EBL, estimated blood loss; LOH, lenth of hospital stay; POPF, postoperative pancreatic fistula; DGE, delayed gastric emptying; BL, biochemical leak.

a)Present case; b)neoadjuvant chemotherapy; c)Time period between 1st gastrectomy and PD; d)Time period from PD.

Ann Hepatobiliary Pancreat Surg 2023;27:317-21 https://doi.org/10.14701/ahbps.22-137
© 2023 Ann Hepatobiliary Pancreat Surg