Pancreas-Sparing Duodenectomy Is Effective Management for Familial Adenomatous Polyposis

Complications and follow-up after pancreas-preserving total duodenectomy for duodenal polyps

“…Half of the patients in this series developed complications after PPTD. Previous case series containing between one and 21 patients have reported postoperative complication rates ranging from 0 to 70 per cent1, 6, 10, 12, 17–24. Main complications were anastomotic leakage, delayed gastric emptying, pancreatitis, wound infection and intra‐abdominal sepsis ( Table 2 ).…”

Application of the Intramolecular Isomerisation–Aldolisation from Allylic Alcohols and Allylic Silyl Ethers to the Synthesis of Indanones and Indenones

“…It has the advantages of removing all duodenal mucosa while preserving the pancreaticobiliary anatomy, and rendering subsequent foregut endoscopic surveillance possible. Morbidity rates range from 30 to 63 per cent, with no deaths reported16–18, 26–31. The described incidence of metachronous jejunal polyps is low ( Table 2 ).…”

Laparoscopic Partial Sleeve Duodenectomy (PSD) for Nonampullary Duodenal Neoplasms

“…10,11 It has been the authors experience that when feasible, a laparoscopic approach to this procedure allows for a more facile and precise dissection of the duodenum from the pancreatic head and has been performed with good outcomes. The technical principles learned from laparoscopic total duodenectomy 14 was carried over to facilitate the performance of segmental duodenectomy with preservation of the pancreatic head.…”

“…This requires meticulous dissection of the duodenum from the pancreatic head and has been described even for ampullary lesions requiring total duodenectomy with pancreaticojejunostomy. 10,11 Recently, advanced laparoscopic techniques have been used for duodenal and pancreatic pathology, which require more complex dissection and gastrointestinal reconstruction techniques. These techniques can be used for patients with benign nonampullary duodenal neoplasms to not only spare the patient the morbidity of a PD or total duodenectomy but also of an open incision.…”