title: Duodenum-preserving resection and Roux-en-Y pancreatic jejunostomy in benign pancreatic head tumors.
abstract: This study was conducted to explore the feasibility of partial pancreatic head resection and Roux-en-Y pancreatic jejunostomy for the treatment of benign tumors of the pancreatic head (BTPH). From November 2006 to February 2009, four patients (three female and one male) with a mean age of 34.3 years (range: 21-48 years) underwent partial pancreatic head resection and Roux-en-Y pancreatic jejunostomy for the treatment of BTPH (diameters of 3.2-4.5 cm) using small incisions (5.1-7.2 cm). Preoperative symptoms include one case of repeated upper abdominal pain, one case of drowsiness and two cases with no obvious preoperative symptoms. All four surgeries were successfully performed. The mean operative time was 196.8 min (range 165-226 min), and average blood loss was 138.0 mL (range: 82-210 mL). The mean postoperative hospital stay was 7.5 d (range: 7-8 d). In one case, the main pancreatic duct was injured. Pathological examination confirmed that one patient suffered from mucinous cystadenoma, one exhibited insulinoma, and two patients had solid-pseudopapillary neoplasms. There were no deaths or complications observed during the perioperative period. All patients had no signs of recurrence of the BTPH within a follow-up period of 48-76 mo and had good quality of life without diabetes. Partial pancreatic head resection with Roux-en-Y pancreatic jejunostomy is feasible in selected patients with BTPH.
authors.affiliation: Chun-Hui Yuan, Ming Tao, Yi-Mu Jia, Jing-Wei Xiong, Tong-Lin Zhang, Dian-Rong Xiu, Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Chun-Hui
authors.initials: CH
authors.lastname: Yuan
authors.affiliation: Chun-Hui Yuan, Ming Tao, Yi-Mu Jia, Jing-Wei Xiong, Tong-Lin Zhang, Dian-Rong Xiu, Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Tao
authors.affiliation: Chun-Hui Yuan, Ming Tao, Yi-Mu Jia, Jing-Wei Xiong, Tong-Lin Zhang, Dian-Rong Xiu, Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Yi-Mu
authors.initials: YM
authors.lastname: Jia
authors.affiliation: Chun-Hui Yuan, Ming Tao, Yi-Mu Jia, Jing-Wei Xiong, Tong-Lin Zhang, Dian-Rong Xiu, Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Jing-Wei
authors.initials: JW
authors.lastname: Xiong
authors.affiliation: Chun-Hui Yuan, Ming Tao, Yi-Mu Jia, Jing-Wei Xiong, Tong-Lin Zhang, Dian-Rong Xiu, Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Tong-Lin
authors.initials: TL
authors.lastname: Zhang
authors.affiliation: Chun-Hui Yuan, Ming Tao, Yi-Mu Jia, Jing-Wei Xiong, Tong-Lin Zhang, Dian-Rong Xiu, Department of General Surgery, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Dian-Rong
authors.initials: DR
authors.lastname: Xiu
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y; D018291:Cystadenoma, Mucinous / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D047368:Tumor Burden; D014463:Ultrasonography; D055815:Young Adult
keywords: Pancreatic benign tumor; Pancreatic head; Partial resection; Postoperative complications; Roux-en-Y pancreatic jejunostomy