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Total resection of the head of the pancreas preserving the duodenum, bile duct, and papilla with end-to-end anastomosis of the pancreatic duct.

Abstract
Many surgeons have recently attempted operative procedures for limited resection of the head of the pancreas. This site-specific approach has emerged as a result of precise diagnostic radiologic studies that have become available. The author performed a new operative procedure in 2 patients with mucin-producing pancreatic cysts that included total resection of the head of the pancreas with careful regard to its vasculature. The procedure provided a way of resecting the head of the pancreas while preserving the duodenum, bile duct, and papilla. The pancreatic duct was cut 5 mm before the point of confluence with the bile duct, and an end-to-end anastomosis was performed on the pancreatic duct. Both patients were discharged within 1 to 1.5 months after surgery, without complication. The operative procedure requires no processing of the jejunum, only a simple anastomosis of the pancreatic duct.
AuthorsT Nagakawa, T Ohta, M Kayahara, K Ueno
JournalAmerican journal of surgery (Am J Surg) Vol. 173 Issue 3 Pg. 210-2 (Mar 1997) ISSN: 0002-9610 [Print] United States
PMID9124628 (Publication Type: Journal Article)
Topics
  • Anastomosis, Surgical (methods)
  • Humans
  • Pancreatectomy (methods)
  • Pancreatic Cyst (surgery)
  • Pancreatic Ducts (surgery)
  • Postoperative Complications

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