1.Resection of ampulla-duodenal conjunction in the treatment of periampullary carcinoma
Ping BIE ; Jingxiu CAI ; Jikui LIU ; Yudong FAN ; Jian CHEN ; Jun DING ; Jianyong ZHU ; Qiao WV ; Chun TANG ; Chunlin FENG ; Ying ZHANG
Chinese Journal of General Surgery 2000;0(12):-
Objective To evaluate the clinical application of Vater ampulla-duodenal conjunction resection in the treatment of periampullary carcinoma. Methods From January 2005 to July 2006, 15 patients underwent this modus operandi, including carcinoma of duodenal papilla (6 cases), Vater ampulla (5 cases) and lower part of common bile duct (4 cases). The descending part of duodenum, Vater ampulla, head of pancreas and common bile duct were excised en bloc followed by reconstruction of GI conduit. Result One patient died of stress ulcer 2 months postoperatively, the 14 patients recovered uneventfully without any major complications, and 3-16 months follow-up found no tumor recurrence. Conclusion Vater ampulla-duodenal conjunction resection as a new surgical procedure provides enough tumor margin clearance while causing less trauma than standard pancreatoduodenectomy in selected cases of periampullary carcinoma.
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