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Updated: Feb 12, 2026

Management of the Uncinate Process in No-Touch Laparoscopic Pancreaticoduodenectomy
Published on: May 5, 2023
Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
Giuseppe Zimmitti1, Alberto Manzoni1, Marco Ramera1
1Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy.
Abstract:
Portal annular pancreas (PAP) is a pancreatic congenital anomaly consisting of pancreatic parenchyma encircling the portal vein and/or the superior mesenteric vein. It has been reported that the risk of developing a post-operative pancreatic fistula is higher following pancreaticoduodenectomy in patients with PAP, probably because of the possibility of leaving undrained a portion of pancreatic parenchyma during the reconstructive phase. Few manuscripts have reported a surgical technique of pancreaticoduodenectomy in case of PAP, herein we report the first case of a patient with PAP undergoing laparoscopic pancreaticoduodenectomy.
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