Surgery Today

, Volume 39, Issue 4, pp 359–362 | Cite as

RETRACTED ARTICLE: A totally laparoscopic pylorus-preserving pancreaticoduodenectomy and reconstruction

  • Akihiro Cho
  • Hiroshi Yamamoto
  • Matsuo Nagata
  • Nobuhiro Takiguchi
  • Hideaki Shimada
  • Osamu Kainuma
  • Hiroaki Souda
  • Hisashi Gunji
  • Akinari Miyazaki
  • Atsushi Ikeda
  • Tomoko Tohma
How to Do It

Abstract

Although many reports have described laparoscopic pancreatic surgery, laparoscopic pancreaticoduodenectomy (PD) has not been widely employed because of technical difficulties. This paper describes a totally laparoscopic pylorus-preserving PD performed for an intraductal papillary-mucinous neoplasm. After the laparoscopic resection, an end-to-side pancreaticojejunostomy including duct-to-mucosa anastomosis without a stenting tube, an approximation of the pancreas stump and jejunal wall, an end-to-side hepaticojejunostomy, and an end-to-side duodenojejunostomy were performed intracorporeally. The patient recovered without any complications and was discharged on the 14th postoperative day. The surgical margin was free of neoplastic changes. Although the experience is limited and the appropriate indications must await future studies, this case indicates that a laparoscopic pylorus-preserving PD can be feasible, safe, and effective in highly selected patients.

Key words

Laparoscopy Pancreaticoduodenectomy Pylorus-preserving pancreaticoduodenectomy Laparoscopic pancreaticoduodenectomy Intraductal papillary-mucinous neoplasm 

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Copyright information

© Springer 2009

Authors and Affiliations

  • Akihiro Cho
    • 1
  • Hiroshi Yamamoto
    • 1
  • Matsuo Nagata
    • 1
  • Nobuhiro Takiguchi
    • 1
  • Hideaki Shimada
    • 1
  • Osamu Kainuma
    • 1
  • Hiroaki Souda
    • 1
  • Hisashi Gunji
    • 1
  • Akinari Miyazaki
    • 1
  • Atsushi Ikeda
    • 1
  • Tomoko Tohma
    • 1
  1. 1.Division of Gastroenterological SurgeryChiba Cancer Center HospitalChibaJapan

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