Pancreas-Sparing Total Duodenectomy
Journal of the Korean Surgical Society
; : 262-265, 2009.
Article
em Ko
| WPRIM
| ID: wpr-150218
Biblioteca responsável:
WPRO
ABSTRACT
Pancreas-sparing total duodenectomy (PSTD), which allows preservation of the pancreas in its entirety is a promising procedure for benign or premalignant lesions at duodenum without invading the pancreas. We report two cases of tubular adenoma of Ampulla of Vater and a GIST of duodenum, which were resected by PSTD. The proximal duodenum was transected at 2 cm distal of pylorus and the distal end was cut in the distal portion of the Treitz ligament. The proximal jejunal limb was used for biliary-pancreatic duct systems reconstruction with end-to-side anastomosis and distal jejunum was anastomosed to duodenal bulb with an end-to-side anastomosis. Although a pancreatic fistula occurred in one patient, it was improved by conservative management. PSTD is a challenging surgical technique and requires excellent knowledge of anatomy. If performed for appropriate indications, PSTD is a useful alternative to formal pancreatoduodenecotmy and can be done safely with gastrointestinal function maintained.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pâncreas
/
Piloro
/
Ampola Hepatopancreática
/
Adenoma
/
Fístula Pancreática
/
Duodeno
/
Extremidades
/
Jejuno
/
Ligamentos
Limite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2009
Tipo de documento:
Article