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Updated: Jun 11, 2026
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Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
Uncinate process first--a novel approach for pancreatic head resection
Thilo Hackert1, Jens Werner, Jürgen Weitz
1Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
Langenbeck'S Archives of Surgery
|June 29, 2010
Summary
This study introduces a novel retrograde dissection for pancreatico-duodenectomy, starting with the uncinate process. This "uncinate process first" approach offers a safe and innovative alternative for pancreatic head malignancies.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Partial pancreatico-duodenectomy is the standard surgical procedure for pancreatic head malignancies.
- Current techniques involve specific dissection planes and operative steps.
Purpose of the Study:
- To describe a technical modification for pancreatico-duodenectomy using retrograde dissection of the pancreatic head.
- To present a novel surgical approach for malignancies of the pancreatic head.
Main Methods:
- The retrograde resection begins with the uncinate process.
- The first jejunal loop is divided, and pancreatic transection is the final step of the resection.
- Technical aspects and potential benefits of this retrograde approach are discussed.
Main Results:
- The retrograde resection of the pancreatic head was safely performed.
- This approach provides a comfortable and innovative method for pancreatico-duodenectomy.
- The
Conclusions:
- The "uncinate process first" retrograde approach is a viable addition to modern pancreatic surgery.
- Further research is needed to compare operative parameters and outcomes with standard resection techniques.
