Related Experiment Video
Updated: Oct 24, 2025
Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
Gist of the 4th Portion of the Duodenum: Laparoscopic Resection with Pancreas Preservation
Giuseppe Portale1, Antonio Mazzeo2, Valentino Fiscon2
1Department of General Surgery, ULSS 6 Euganea, Via Casa di Ricovero 40, 35013, Cittadella, Padova, Italy. portale.giuseppe@libero.it.
Abstract:
In this video, we present the laparoscopic technique of pancreas-preserving segmental resection for GISTs of the 4th portion of the duodenum. A 54-year-old male presented with a polypoid mass of about 3 cm in diameter with a large base, in the 4th portion of the duodenum, about 4 cm from the ampulla. Multiple endoscopic biopsies were taken, and all were negative for adenocarcinoma. CT scan of the abdomen confirmed that the mass, suggestive of GIST, was limited to the duodenum, a limited part intraluminal and the vast majority in the duodenal wall. A laparoscopic segmental resection with a 3D video system was accomplished. The operation lasted 160 min. Recovery was uneventful.
