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Langenbecks Arch Surg. 2009 May;394(3):563-8. doi: 10.1007/s00423-008-0428-x. Epub 2008 Oct 21.

Duodenum-preserving total pancreatic head resection without segment resection of the duodenum for chronic pancreatitis.

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  • 1Department of General Surgery, Pancreatic Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave 1277#, Wuhan, Hubei Province, 430022, China. chunyouwang52@126.com

Abstract

PURPOSE:

The purpose of this study was to describe a duodenum-preserving total pancreatic head resection procedure without segment resection of the duodenum for the treatment of chronic pancreatitis with an enlarged pancreatic head.

MATERIALS AND METHODS:

Between January 1999 and December 2006, 35 patients with chronic pancreatitis were operated on by duodenum-preserving total pancreatic head resection procedure without segment resection of the duodenum. These patients were followed up to estimate the outcomes of the surgical procedure.

RESULTS:

The mortality of the surgical procedure was 0. The overall morbidity was 17%. One patient developed pancreatic fistula, three patients developed bile leakage, and no patient developed duodenal fistula. Twenty-one patients who suffered abdominal pain in preoperative stage obtained complete pain relief, the mean European Organization for Research and Treatment of Cancer QLQ-C30 pain scale decreased from 59 +/- 27 to 13 +/- 21. In the postoperative stage, the endocrine function of the patients compared equally to the preoperative stage.

CONCLUSION:

The modified procedure obtains acceptable postoperative outcomes and benefits on extirpation of inflammatory lesions and avoidance of the anastomosis of the residual pancreatic head and the jejunum.

PMID:
18936959
DOI:
10.1007/s00423-008-0428-x
[PubMed - indexed for MEDLINE]
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