Related Experiment Video
Updated: Jun 5, 2026
08:57
Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
Published on: June 17, 2018
Laparoscopic pancreas-sparing subtotal duodenectomy.
Ignasi Poves1, Fernando Burdio, Sandra Alonso
1Department of General and Digestive Surgery, "Hospital del Mar", Barcelona, Spain. ipoves@parcdesalutmar.cat
JOP : Journal of the Pancreas
|January 6, 2011
Summary
Radical surgical resection, specifically pancreas-sparing duodenectomy, is effective for selected duodenal adenocarcinoma cases. This laparoscopic approach offers a viable alternative to pancreaticoduodenectomy for tumors confined to the duodenum.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Primary adenocarcinoma of the duodenum is a rare malignancy.
- Radical surgical resection, often pancreaticoduodenectomy, is the standard treatment.
- Segmental duodenal resection is suitable for specific cases involving the 3rd and 4th duodenal portions.
Observation:
- A case of a 67-year-old woman with an infra-ampullary villous polypoid mass in the 3rd duodenal portion was reported.
- Initial biopsies showed no malignancy; imaging confirmed no extraduodenal involvement.
- A laparoscopic pancreas-sparing duodenectomy was performed, preserving the papilla of Vater.
Findings:
- The final diagnosis was primary adenocarcinoma of the duodenum with free resection margins.
- The patient experienced an uneventful recovery and was discharged on postoperative day 7.
- After 45 months of follow-up, the patient remains disease-free.
Implications:
- Laparoscopic pancreas-sparing duodenectomy is recommended for infra-ampullary benign and pre-malignant duodenal pathologies.
- This technique serves as an alternative to pancreaticoduodenectomy for select duodenal tumors.
- Requires expertise in pancreatic surgery and advanced laparoscopic techniques.
