Periampulary cancer or borderline tumor that is able to resection on preoperative examination
Patients without distance metastasis
Bone marrow function: WBC at least 3,000/mm3 or absolute neutrophil count at least 1,500/mm3, Platelet count at least 125,000/mm3
Liver function: AST/ALT less than 3 times upper limit of normal
Kidney function: Creatinine no greater than 1.5 times upper limit of normal
Ability to understand and the willingness to sign a written informed consent document.
You may not be if
Recurred periampulary cancer
Pregnant and breastfeeding women
Patients with active or uncontrolled infection
Patients with uncontrolled heart disease
Patients with moderate or severe comorbidities who are thought to have an impact on quality of life or nutritional status (Liver cirrhosis, chronic kidney failure, heart failure, etc.)
Patients who underwent other major abdominal organs surgery except for scheduled pancreatoduodenectomy (gastrectomy, colonic resection, etc.)
