Pylorus-preserving pancreaticoduodenectomy in patients undergoing chronic hemodialysis

Hiroki Uchida, Kohei Shibata, Seiichiro Kai, Kentaro Iwaki, Masayuki Ohta, Seigo Kitano

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


This report describes three patients who underwent a pylorus-preserving pancreaticoduodenectomy (PpPD) and received maintenance hemodialysis due to chronic renal failure. The three cases were diagnosed to have bile duct cancer, intraductal papillary mucinous neoplasm, and carcinoma of the ampulla of Vater, respectively. They underwent chronic hemodialysis for 7.7 years. They all underwent a PpPD with lymph node dissection. The mean operation time was 373 min and mean blood loss was 647 ml. During the postoperative courses, hemodialysis was restarted on postoperative day 1 in all three cases. In the three patients, only minor complications were experienced and these were treated conservatively. The mean postoperative hospital stay was 48 days. Two patients are still alive 135 and 21 months after the operation, respectively, but the other patient died of another disease 21 months after the PpPD. A PpPD may therefore be safe and feasible even in patients receiving chronic hemodialysis.

Original languageEnglish
Pages (from-to)1152-1154
Number of pages3
JournalSurgery today
Issue number12
Publication statusPublished - Dec 2008
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery


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