A New Surgical Technique of Pancreaticoduodenectomy with Splenic Artery Resection for Ductal Adenocarcinoma of the Pancreatic Head and/or Body Invading Splenic Artery: Impact of the Balance between Surgical Radicality and QOL to Avoid Total Pancreatectomy

Table 2

Comparison of surgical outcomes between PD and PD-SAR.

	PD (𝑛=66)	PD-SAR (𝑛=18)	𝑃 value
Blood loss (g)	1967±1874	1605±1215	0.340
Operation time (min)	587±118	607±127	0.429
Combined resection
SMV/PV	58 (87.9%)	18 (100%)	0.271
Colon	7 (10.6%)	0	0.336
Total gastrectomy	1 (1.5%)	2 (11.1%)	0.219
HA	3 (4.5%)	1 (5.6%)	0.656
SA	0 (0%)	18 (100%)	<0.001
Type of P-J anastomosis
PWST	65 (98.5%)	12 (61.1%)	<0.001
Dunking	1 (1.5%)	6 (38.9%)
Blood transfusion (mL)	400±420	320±406	0.660
Postoperative complication
C-D grade ≥ III	13 (19.7%)	3 (16.7%)	0.790
DHS (days)	40.2±17.9	38.2±13.5	0.980

P-J: pancreaticojejunostomy; PWST: pair-watch suturing technique (16); C-D: Clavien-Dindo classification (18); DHS: duration of hospital stay.