Related Experiment Video
Updated: Jun 14, 2026
03:34
Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
Clinical Outcomes of Duodenum-Preserving Core Pancreatic Head Resection (DP-CoPHR)
Shilin Guo1, Shuhai Chen, Han Liu
1Department of Pancreatic Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Summary
Laparoscopic duodenum-preserving core pancreatic head resection (DP-CoPHR) is a viable option for select pancreatic head tumors. While complications like pancreatic fistula occurred, the procedure showed no perioperative mortality.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Duodenum-preserving pancreatic head resection (DPPHR) offers advantages over pancreaticoduodenectomy for specific pancreatic head tumors.
- DPPHR is technically challenging, necessitating procedural modifications.
- A novel technique, duodenum-preserving core pancreatic head resection (DP-CoPHR), was developed to simplify the procedure.
Purpose of the Study:
- To evaluate the clinical outcomes of the modified laparoscopic DP-CoPHR technique.
- To assess the feasibility and safety of DP-CoPHR for benign or low-grade malignant tumors in the pancreatic head core region.
Main Methods:
- Retrospective analysis of 6 patients undergoing laparoscopic DP-CoPHR.
- Inclusion criteria: benign or low-grade malignant tumors in the pancreatic head core region.
- Data collected included operative time, blood loss, complications, and hospital stay.
Main Results:
- Successful completion of laparoscopic DP-CoPHR in all 6 patients.
- Tumor types included solid pseudopapillary neoplasm, serous cystic neoplasm, and IPMN.
- Median operative time: 267.5 minutes; median blood loss: 100 mL; median hospital stay: 11.5 days.
- Postoperative complications: 50% pancreatic fistula (grade B), 1 patient with biliary fistula (managed with ERBD).
- No perioperative mortality or reoperations observed.
Conclusions:
- Laparoscopic DP-CoPHR is a feasible alternative for selected patients with pancreatic head tumors.
- Further long-term follow-up is necessary to assess the patency of the common bile duct.
Related Concept Videos
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...