Indication and choice of operation technique for duodenum-preserving resection of pancreatic head: 22 cases reports.
- Author:
Jiong-xin XIONG
1
;
Chun-you WANG
;
Jing TAO
;
Shu-hua ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Duodenum; surgery; Female; Humans; Male; Middle Aged; Pancreatectomy; adverse effects; methods; Pancreatic Neoplasms; surgery; Pancreatitis; surgery; Postoperative Complications; prevention & control; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2007;45(1):24-26
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze the indication and choice of operation technique for duodenum-preserving resection of pancreatic head.
METHODSThe Clinical material of the 22 patients who received duodenum-preserving resection of pancreatic head (DPPHR) from January 2001 to January 2006 was analyzed. Of the 22 cases, 8 cases presented with mucinous cystadenoma, 2 cases with mucinous cystadenocarcinoma, 4 cases with solid-pseudopapillary tumors, 2 cases with pancreatic endocrine tumors, 4 cases with chronic pancreatitis, 1 case with lymph epidermis cyst, 1 case with serous cystadenoma. The indication, choice of operation technique of DPPHR and the prevention and management of the post-operative complications were investigated.
RESULTSNo patient died of the operation. Three cases (13.6%) developed pancreatic fistula after the operation, 1 case (4.5%) developed biliary fistula, 1 case (4.5%) developed abdominal infection and 2 cases of duodenal fistula occurred (9.1%).
CONCLUSIONSDPPHR retains the continuity of stomach, duodenum and biliary ducts. The operation is safe and it reduces wounds and excision scope. This procedure can be used in benign and low malignant lesions in the head and neck of the pancreas.
