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Updated: Feb 19, 2026

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
Severe pancreatoduodenal injury
Hirotaka Yamamoto1,2, Hiroaki Watanabe1, Yasuaki Mizushima1
1Acute Care Surgery Center Senshu Trauma and Critical Care Center, Rinku General Medical Center Izumisano Osaka Japan.
Case:
A 30-year-old male involved in a traffic accident was brought to our hospital. He was in shock with a rigid abdomen, and a computed tomography scan showed severe pancreatoduodenal injury. He was successfully treated with damage control surgery consisting of peripancreatic packing at the initial surgery followed by a two-stage pancreaticoduodenectomy.
Outcome:
The postoperative course was complicated by a hepatic abscess, but there were no pancreaticoduodenectomy-related complications. The patient was transferred to a local hospital on postoperative day 55.
Conclusion:
Three step strategy consisting of peripancreatic packing followed by a two-stage pancreaticoduodenectomy is an effective treatment strategy for severe pancreatoduodenal injury.
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