Pancreatoduodenectomy with preservation of the stomach and pylorus: a safe and effective alternative in children.
The time-honored surgical approach to resectable tumors of the head of the pancreas or distal common bile duct has been a Whipple operation for adults and children. In recent years, pylorus-preserving pancreatoduodenectomy has been used for adults. The postoperative physiological advantages may be enhanced in children, and for this reason the pylorus-sparing approach was used in a 15-year-old girl with a tumor of the distal common duct. The pylorus-preserving pancreatoduodenectomy was safe and effective in this patient and should be considered for children with resectable tumors of the distal common bile duct and pancreatic head.
Newman
K
K
Department of Surgery, Children's National Medical Center, Washington, DC.
Vates
T
T
Duffy
L
L
Anderson
K
K
D000293:Adolescent; D002276:Carcinoid Tumor / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011708:Pylorus / Q000601:surgery; D013270:Stomach / Q000601:surgery