title: Pancreas-preserving partial duodenectomy of the distal region for large duodenal adenoma: report of a case.
abstract: For neoplasms in the third and fourth parts of the duodenum, a duodenectomy that preserves the pancreas may provide feasible tumor clearance while avoiding the additional dissection and pancreaticoduodenectomy. We herein describe the case of a 40-year-old male patient with an adenoma in the third part of the duodenum. The patient underwent a partial duodenectomy of the distal region, preserving the pancreas and Vater's papilla. The residual duodenum and jejunum were successfully reconstructed by an end-to-side anastomosis. We also present a review of the English literature regarding pancreas-preserving partial duodenectomy of the distal region.
authors.affiliation: Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Shimizu
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hashimoto
authors.forename: Shinya
authors.initials: S
authors.lastname: Abe
authors.forename: Akira
authors.initials: A
authors.lastname: Chikamoto
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D014670:Ampulla of Vater / Q000601:surgery; D000714:Anastomosis, Surgical / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000379:methods; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D009367:Neoplasm Staging; D059351:Organ Sparing Treatments / Q000379:methods*; D010179:Pancreas / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome