[A voluminous vascular leiomyoma of the pancreas treated by personal technique of resection of the pancreatic head without duodenectomy].
A new technique variation of complete resection of the pancreatic head with preservation of the duodenum is described. The steps of this intervention are the partial mobilization of the duodenum, the mobilization of the gastric antrum, the section of the pancreatic neck and the complete resection of the pancreatic head with a meticulous dissection/section of the small blood vessels connecting the duodenum and the head of the pancreas. The terminal part of choledochus is removed with the specimen of the pancreas. The intervention is completed with cholecystectomy, end-to-side pancreaticojejunostomy, end-to-side choledocho-jejunostomy and side-to-side jejunojejunal anastomosis. The authors carried out this intervention on a 74-year old woman with a voluminous vascular leiomyoma of the pancreatic head. The patient, two years after the operation, is well with a normal clinical and laboratory follow-up.
Bakolas
I
I
Divisione di Chirurgia, Ospedale Prefetturale Generale, Karpenisi, Greece.
Sofos
A G
AG
Athanassoulias
V
V
Velegrakis
I
I
Mohamed
T
T
Kaklamanis
L
L
Papadopoulos
G
G
D000368:Aged; D000714:Anastomosis, Surgical; D002763:Cholecystectomy; D002768:Choledochostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000601:surgery*; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D010193:Pancreaticojejunostomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed