title: [Pylorus-preserving pancreatic head resection. Video article].
abstract: The pylorus preserving pancreatoduodenectomy (PPPD) is a surgical procedure for the treatment of pancreatic head cancer, distal bile duct tumors and malignancies of the duodenum. This surgical technique can also be applied to treat chronic pancreatitis. The perioperative mortality rate ranges between 3% and 5%. The procedure is performed in a standardized way. It begins with the exploration phase to clarify resectability of the tumor. Subsequently it is divided into a structured resection and reconstruction phase. Malignant tumors require a systematic lymphadenectomy of the hepatoduodenal ligament. Since the complication rate is not negligible, complication management plays an important role. Most frequently, delayed gastric emptying and pancreatic fistulas occur. We present an accompanying video of this operation online, where the PPPD procedure is performed to treat duodenal polyps in familial adenomatous polyposis after failure of endoscopic ablation.
authors.affiliation: Universitätsklinik für Allgemein-, Viszeral- und Gefäßchirurgie, Leipziger Str. 44, 39120, Magdeburg, Deutschland. christiane.bruns@med.ovgu.de.
authors.forename: C J
authors.initials: CJ
authors.lastname: Bruns
authors.affiliation: Universitätsklinik für Allgemein-, Viszeral- und Gefäßchirurgie, Leipziger Str. 44, 39120, Magdeburg, Deutschland.
authors.forename: F C
authors.initials: FC
authors.lastname: Popp
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000473:pathology / Q000601:surgery; D001650:Bile Duct Neoplasms / Q000473:pathology / Q000601:surgery; D017734:Bile Ducts, Extrahepatic / Q000473:pathology / Q000601:surgery; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery; D019983:Guideline Adherence; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods; D018358:Neuroendocrine Tumors / Q000473:pathology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011708:Pylorus / Q000601:surgery*; D014741:Video Recording
keywords: PPPD; Whipple procedure; chronic pancreatitis; duodenal polyps; pancreatic cancer