01-10-2012 | How to Do It
RETRACTED ARTICLE: Totally laparoscopic pancreas-sparing duodenectomy
Published in: Surgery Today | Issue 10/2012
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Pancreas-sparing duodenectomy (PSD) is a practical surgical procedure for
patients with duodenal adenoma, which is difficult to resect endoscopically. We
describe how we performed a totally laparoscopic PSD to resect a duodenal adenoma in
a 64-year-old woman, who had been referred for treatment of a 50-mm villous polypoid
mass in the second portion of the duodenum. We performed end-to-side anastomosis
between the common duct of the bile and pancreatic ducts and the jejunal limb
intracorporeally following the duodenal resection. A biliary leak developed, but
resolved spontaneously and the patient was discharged on postoperative day (POD) 32.
The surgical margin was free of neoplastic change. Although there is limited
experience and appropriate indications must await future studies, this case
demonstrates that laparoscopic PSD is feasible, safe, and effective for selected
patients.