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Related Experiment Video

Updated: Jun 12, 2026

$Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions$

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions

Published on: February 9, 2024

Endoscopic approach via the minor duodenal papilla.

Kazuo Inui¹, Junji Yoshino, Hironao Miyoshi

¹Department of Internal Medicine, Second Teaching Hospital, Fujita Health University School of Medicine, Nagoya, Japan. kinui @ fujita-hu.ac.jp

Digestive Surgery

|June 17, 2010

Summary

Endoscopic procedures via the minor papilla offer a safe treatment for pancreas divisum and pancreatic stones when the major papilla is inaccessible. These techniques, including sphincterotomy and stenting, provide effective pain relief and dorsal duct decompression.

Related Experiment Videos

Last Updated: Jun 12, 2026

$Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions$

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions

Published on: February 9, 2024

Area of Science:

Gastroenterology
Endoscopic Surgery

Background:

Pancreas divisum, pancreatic stones, Santorini's duct strictures, and minor papilla neoplasms present unique endoscopic challenges.
The minor papilla offers an alternative access route for specific pancreaticobiliary conditions.

Purpose of the Study:

To detail endoscopic procedures through the minor papilla for symptomatic patients.
To evaluate the efficacy and safety of these minimally invasive techniques.

Main Methods:

Endoscopic minor papilla sphincterotomy, pancreatic stone removal, stent placement in Santorini's duct, and neoplasm resection were performed.
Careful guide wire insertion into Santorini's duct via the minor papilla was crucial to prevent pancreatitis.

Main Results:

Minor papilla sphincterotomy proved effective for pancreas divisum and recurrent pancreatitis, benefiting from dorsal duct decompression.
Endoscopic access via the minor papilla was the sole viable option for lesions unreachable via the major papilla, providing pain relief.
Long-term dorsal ductal stenting showed high success rates (76% and 90%).

Conclusions:

This endoscopic approach requires advanced skills and should be reserved for specialized centers.
The procedures are safe and effective for select patients with specific pancreaticobiliary conditions.