Pancreatic head resection with segmental duodenectomy for intraductal papillary mucinous tumors of the pancreas

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Yoshiaki MurakamiTaijiro Sueda

Abstract

Various modifications of organ-preserving pancreatic resections have been performed for intraductal papillary mucinous tumor (IPMT) of the pancreas. The aim of this study was to evaluate usefulness of pancreatic head resection with duodenal segmentectomy (PHRSD), which is one of the organ-preserving pancreatic resections for IPMT. Pancreatic head resection with duodenal segmentectomy was indicated for the branch duct type of IPMT. Eight patients underwent PHRSD. The mean operative time was 390 minutes, and the mean blood loss was 1270 ml. Duodenal ischemia was prevented by preserving the duodenal branches of the gastroduodenal artery and the anterior inferior pancreaticoduodenal artery. Complications occurred in four patients: one with pancreatic leak, one with choledochoduodenal anastomotic stenosis, and two with delayed gastric emptying. However, no deaths occurred. The final pathologic diagnosis was adenoma in seven patients and carcinoma in situ in one patient. Six of eight patients had an adenoma with papillary growth in the main pancreatic duct. Postoperative pancreatic endocrine and exocrine functions were satisfactory. All patients were alive without recurrent disease at a median follow-up of 30 months. Pancreatic head ...Continue Reading

Citations

Jun 13, 2012·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
Nov 4, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hans G BegerBettina M Rau
Feb 10, 2009·The Journal of Surgical Research·Peter HagerLisa Strömmer
Aug 10, 2010·Journal of Hepato-biliary-pancreatic Sciences·Sergio PedrazzoliCosimo Sperti
Feb 19, 2015·World Journal of Surgery·H G BegerM H Schoenberg
Apr 20, 2014·International Journal of Surgery·H G BegerC Vasilescu
Apr 9, 2008·Journal of Hepato-biliary-pancreatic Surgery·Hans G BegerBertram Poch
Feb 16, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Andás SzuákÁgnes Nemeskéri
Dec 17, 2010·World Journal of Gastrointestinal Surgery·Chad G Ball, Thomas J Howard
Apr 27, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yoshiaki MurakamiTaijiro Sueda
Sep 1, 2007·Current Opinion in Gastroenterology·Hans G Beger, Bettina M Rau
Feb 27, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·H G BegerB Poch
Nov 29, 2007·Annals of Surgery·Akimasa Nakao, Laureano Fernández-Cruz
Jul 14, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hans G BegerBertram Poch

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.