Hand-assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head disease.
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.
Kimura
Yasutoshi
Y
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
Hirata
Koichi
K
Mukaiya
Mitsuhiro
M
Mizuguchi
Toru
T
Koito
Kazumitsu
K
Katsuramaki
Tadashi
T
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*