Is there an advantage in performing a pancreas-preserving total duodenectomy in duodenal adenomatosis?

Müller, Michael; Dahmen, R.; Köninger, Jörg; Michalski, Christoph; Hinz, Ulf; Hartel, Mark; Kadmon, Martina; Kleeff, Jörg; Büchler, Markus W.; Friess, Helmut

doi:10.1016/j.amjsurg.2007.08.061

Cited by 38 publications

(29 citation statements)

References 39 publications

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“…PPTD can be performed for all benign and premalignant lesions of the duodenum [3,6]. The majority of patients in our study underwent PPTD due to FAP-related duodenal adenomatosis, which accords with other studies [7][8][9][10][11].…”

Section: Discussionsupporting

confidence: 88%

“…In patients with premalignant or severe benign lesions, an alternative to Whipple's operation is pancreas-preserving total duodenectomy (PPTD) [3,4]. This operation was first described in 1995 by Chung [4] and consists of total duodenal resection with sparing of adjacent tissues, particularly pancreas parenchyme and the distal biliary and pancreatic ducts.…”

Section: Introductionmentioning

confidence: 99%

“…Whipple's operation causes a high degree of morbidity and a low degree of mortality (0.1-10%) [1]. Furthermore, the head of the pancreas is removed even though the disease is located only in the duodenum [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pancreas‐preserving total duodenectomy: a 10‐year experience

Penninga

Svendsen

2011

J Hepato Biliary Pancreat

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

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Pancreas‐preserving total duodenectomy: a 10‐year experience

Penninga

Svendsen

2011

J Hepato Biliary Pancreat

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“…Neben Einzelfällen mit verschiedensten Indikationen wurde die Mehrzahl der Operationen bei familiärer adenomatöser Poly posis in Fallserien berichtet [3,5,7,9]. Dabei werden dieselben operationsassoziierten perioperativen Komplikationen wie bei Duodenopankreatektomien beschrieben: Pankreas-und Gallefisteln, postoperative Pankreatitiden, Nachblutungen oder verzögerte Magenentleerungen.…”

Section: Abb 5 8 Operationspräparat Mit Ausgeprägter Wandeinblutungunclassified

“…Dabei werden dieselben operationsassoziierten perioperativen Komplikationen wie bei Duodenopankreatektomien beschrieben: Pankreas-und Gallefisteln, postoperative Pankreatitiden, Nachblutungen oder verzögerte Magenentleerungen. Im Vergleich zur alternativen partiellen Duodenopankreatektomien konnte jedoch die Gleichwertigkeit oder Überlegenheit der pankreaserhaltenden Duodenektomie in Bezug auf intraoperativen Blutverlust, erforderliche Enzymsubstitution, Lebensqualität, Morbidität und Mortalität gezeigt werden [3,7]. Die Vorteile der pankreaserhaltenden Duodenektomie stellen -je nach gewählter Rekonstruktion -der Erhalt der anatomischen gastrointestinalen Passage mit Möglichkeit einer endoskopischen Nachsorge, die Integrität des Pankreas und die Verringerung der Anastomosen von 3 auf 2 dar [1,5,10].…”

Section: Abb 5 8 Operationspräparat Mit Ausgeprägter Wandeinblutungunclassified

Pankreaserhaltende Duodenektomie in der Akutsituation

Moritz

Weinrich

Kröger

et al. 2011

Chirurg

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We report the case of a 24-year-old patient who underwent a duodenal biopsy due to the suspicion of graft-versus-host disease following allogeneic stem cell transplantation 3 months previously. The patient developed severe upper abdominal pain after the biopsy. A computed tomography scan revealed diffuse hemorrhaging in the duodenal wall and mesenteric root. Following supraselective angioembolization to stop the bleeding a control computed tomography scan was carried out the following day and revealed increasing destruction of the duodenal wall due to a dissecting aneurysm. A pancreas-preserving duodectomy was carried out.

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Indocyanine green‐fluorescent imaging for a detection of accessory pancreatic duct in pancreas‐preserving duodenectomy

Ito

Mise

Tanaka

et al. 2022

Annals of Gastroent Surgery

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Pancreas‐preserving duodenectomy is indicated for select patients with a duodenal tumor in the second portion. In this procedure, identification and closure of the accessory pancreatic duct is important to prevent postoperative pancreatic fistula. A 63‐y‐old man was diagnosed with duodenal mucosal carcinoma in the second portion, with invasion of the major ampullary. We performed pancreas‐preserving duodenectomy. Intraoperatively, indocyanine green‐fluorescent imaging identified the accessory pancreatic duct clearly and it was successfully closed. Postoperative pancreatic fistula did not occur. Indocyanine green‐fluorescent imaging is effective in identifying the accessory pancreatic duct in pancreas‐preserving duodenectomy.

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Is there an advantage in performing a pancreas-preserving total duodenectomy in duodenal adenomatosis?

Cited by 38 publications

References 39 publications

Pancreas‐preserving total duodenectomy: a 10‐year experience

Pancreas‐preserving total duodenectomy: a 10‐year experience

Pankreaserhaltende Duodenektomie in der Akutsituation

Indocyanine green‐fluorescent imaging for a detection of accessory pancreatic duct in pancreas‐preserving duodenectomy

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