Duodenum-preserving total pancreatic head resection without segment resection of the duodenum for chronic pancreatitis

作者：Wang, Chunyou^*; Liu, Tao; Wu, Heshui; Xiong, Jiongxin; Zhou, Feng; Tao, Jing; Yang, Zhiyong; Gou, Shanmiao

来源：Langenbeck's Archives of Surgery, 2009, 394(3): 563-568.

DOI：10.1007/s00423-008-0428-x

• Duodenum-preserving resection
• Pancreatic head
• Chronic pancreatitis

The purpose of this study was to describe a duodenum-preserving total pancreatic head resection procedure without segment resection of the duodenum for the treatment of chronic pancreatitis with an enlarged pancreatic head. @@@ Between January 1999 and December 2006, 35 patients with chronic pancreatitis were operated on by duodenum-preserving total pancreatic head resection procedure without segment resection of the duodenum. These patients were followed up to estimate the outcomes of the surgical procedure. @@@ The mortality of the surgical procedure was 0. The overall morbidity was 17%. One patient developed pancreatic fistula, three patients developed bile leakage, and no patient developed duodenal fistula. Twenty-one patients who suffered abdominal pain in preoperative stage obtained complete pain relief, the mean European Organization for Research and Treatment of Cancer QLQ-C30 pain scale decreased from 59 +/- 27 to 13 +/- 21. In the postoperative stage, the endocrine function of the patients compared equally to the preoperative stage. @@@ The modified procedure obtains acceptable postoperative outcomes and benefits on extirpation of inflammatory lesions and avoidance of the anastomosis of the residual pancreatic head and the jejunum.

• 出版日期2009-5
• 单位华中科技大学