Modified duodenum-preserving pancreas head resection for low-grade malignant lesion in the pancreatic head.

摘要: Abstract Background/objectives Our institution has utilized a duodenum-preserving pancreas head resection (DPPHR) procedure for management of low-grade malignant lesions within the pancreas, but this resulted in higher rate postoperative complications, including pancreatic fistula and ischemic bile duct injury. To avoid these complications we recently modified DPPHR to resect all parenchyma around preserve epicholedochal plexus duct. The goal study was investigate outcomes with disease control following procedure. Methods Twenty-one consecutive patients underwent between 1994 2011. Patients were retrospectively classified into one two groups: conventional group (cDPPHR) or (mDPPHR). Perioperative factors compared groups. Results median age 21 61 (23–77) years, follow-up period 51 months. Intra-operational blood loss significantly smaller duration hospital stay shorter mDPPHR than cDPPHR group, respectively. markedly lower (2/13; 15%) (7/8; 88%) ( P  = 0.0022). For neoplastic lesions, surgical margin negative cases, local recurrence not occurred either group. Conclusions selected patients, may provide clinical benefits terms less associated stay.