Related Experiment Video
Updated: Jun 30, 2025
Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
Published on: December 15, 2023
PARTIAL DISTAL DUODENECTOMY IN PATIENT WITH ADENOCARCINOMA
Héctor Losada1,2, Norberto Portillo1,2, Andrés Troncoso1,2
1Hospital Hernán Henríquez Aravena, Surgery, Anesthesia and Traumatology Unit, Temuco, Araucanía, Chile.
Background:
Duodenal adenocarcinoma is a small percentage of gastrointestinal neoplasms, around 0.5%, and its treatment is based on resection of the tumor, classically by pancreaticoduodenectomy. In recent years, however, segmental resections of duodenal lesions, that do not involve the second portion or the periampullary region, have gained relevance with good surgical and oncological outcomes as well as the benefit of avoiding surgeries that can result in high morbidity and mortality.
Aims:
To report a case of an elderly female patient with malignant neoplastic lesion in the third and fourth duodenal portion, non-obstructive, submitted to surgical treatment.
Methods:
The technical option was the resection of the distal duodenum and proximal jejunum with preservation of the pancreas and reconstruction with side-to-side duodenojejunal anastomosis.
Results:
The evolution was satisfactory and the surgical margins were free of neoplasia.
Conclusions:
Segmental resections of the duodenum are feasible and safe, offering the benefit of preventing complications of pancreaticoduodenectomies.
