title: Totally laparoscopic pancreas-sparing duodenectomy.
abstract: 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.
authors.affiliation: Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba 260-8717, Japan. acho@chiba-cc.jp
authors.forename: Akihiro
authors.initials: A
authors.lastname: Cho
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Osamu
authors.initials: O
authors.lastname: Kainuma
authors.forename: Takumi
authors.initials: T
authors.lastname: Ota
authors.forename: Seongjin
authors.initials: S
authors.lastname: Park
authors.forename: Hiroo
authors.initials: H
authors.lastname: Yanagibashi
authors.forename: Hidehito
authors.initials: H
authors.lastname: Arimitsu
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ikeda
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Souda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nabeya
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takiguchi
authors.forename: Matsuo
authors.initials: M
authors.lastname: Nagata
mesh_terms: D000236:Adenoma / Q000601:surgery*; D000714:Anastomosis, Surgical; D003135:Common Bile Duct / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000601:surgery*