title: Segmental Duodenectomy in Surgical Therapy of Tumor of the Third and Fourth Portions of Duodenum.
abstract: OBJECTIVE
  To analyze our experience of segmental duodenectomy for tumors located at the third and fourth portion of the duodenum and attempt to explore the security and feasibility of this surgical procedure.
  
  
  METHODS
  A retrospective cohort study of five patients who underwent segmental duodenectomy in our hospital, medical records were analyzed in this study.
  
  
  RESULTS
  The initial symptoms in five patients are not specific. Five were surgically treated by segmental resection. All patients without postoperative anastomotic leakage, the gastroparesis and anastomotic stenosis each appeared in a case and all recovered after supportive care. Pathological examination showed: 3 cases of stromal tumor, 1 :ases of lymphangioma, diffuse large B-cell lymphoma. Postoperative gastrointestinal bleeding does not appear in the lymphangioma,two cases of high risk group of stromal tumor patients received targeting therapy with Imatinib Mesylate for 2 years after resection, the patient with lymphoma administer postoperative adjuvant chemotherapy. All patients are still alive and the lymphoma patient developed postoperative local recurrence after approximately six months.
  
  
  CONCLUSIONS
  Segmental duodenectomy is a reliable and curative option for most duodenal benign tumor and stromal tumor located at the third and fourth portion. It is also applicable to some malignant tumor.
authors.forename: Zheng-Rong
authors.initials: ZR
authors.lastname: Li
authors.forename: Dao-Jiang
authors.initials: DJ
authors.lastname: Li
authors.forename: Xiao-Ping
authors.initials: XP
authors.lastname: Xie
authors.forename: Yi
authors.initials: Y
authors.lastname: Liu
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D015331:Cohort Studies; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery*; D004386:Duodenum / Q000473:pathology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008202:Lymphangioma / Q000473:pathology / Q000601:surgery*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome