title: Hand-assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head disease.
abstract: Laparoscopic procedures for pancreatic surgery have been significantly improved recently; however, the number of successful laparoscopic or laparoscopy-assisted pancreaticoduodenectomies (PDs) has been limited. The limitations could be attributed to the complexity of the reconstruction procedures under laparoscopic observations and the high incidence of critical morbidity with PDs. To overcome the shortcomings, we developed the first hand-assisted laparoscopic pylorus-preserving PD and, in this report, present the case of a patient with a low-grade malignant tumor on the pancreas head.
authors.affiliation: First Department of Surgery, Sapporo Medical University School of Medicine, S-1, W-16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan. kimuray@sapmed.ac.jp
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Kimura
authors.forename: Koichi
authors.initials: K
authors.lastname: Hirata
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Mukaiya
authors.forename: Toru
authors.initials: T
authors.lastname: Mizuguchi
authors.forename: Kazumitsu
authors.initials: K
authors.lastname: Koito
authors.forename: Tadashi
authors.initials: T
authors.lastname: Katsuramaki
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000601:surgery; D000368:Aged; D021441:Carcinoma, Pancreatic Ductal / Q000601:surgery; D006225:Hand; D006801:Humans; D007583:Jejunum / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*