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Duodenal-Preserving Resection of the Head of the Pancreas and Pancreatic Head Resection With Second-Portion Duodenectomy for Benign Lesions, Low-Grade Malignancies, and Early Carcinoma Involving the Periampullary Region—Invited Critique
J. Michael Henderson, MD
Cleveland, Ohio
Arch Surg. 2003;138:168.
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Are we making this unnecessarily complicated? A standard operation—pylorus-preserving pancreaticoduodenectomy—has evolved in the past decade to a high level of applicability in many centers, with a low morbidity and mortality. Is there a role for other operations for pathology in the head of the pancreas? The authors of the current article present their experience with 15 patients having more conservative resections of the pancreatic head with 2 other operative techniques. Are there specific reasons we should perform these procedures based on pathology or factors of operative technique?
The initial pathologic indication for duodenal-preserving head of pancreas resections was chronic pancreatitis. In the current article 50% of the patients had malignant or potentially malignant lesions that were resected. Small numbers and short follow-up without recurrence do not justify this more conservative approach for these pathologic features.
The operative techniques used in this article do not simplify resection . . . [Full Text of this Article]
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Duodenal-Preserving Resection of the Head of the Pancreas and Pancreatic Head Resection With Second-Portion Duodenectomy for Benign Lesions, Low-Grade Malignancies, and Early Carcinoma Involving the Periampullary Region
Young-Joon Ahn, Sun-Whe Kim, Youn-Chan Park, Jin-Young Jang, Yoo-Seok Yoon, and Yong-Hyun Park
Arch Surg. 2003;138(2):162-168.
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