Operation category: 1: local excision of tumor; 2: partial pancreatectomy and partial or local pancreatectomy and duodenectomy
without distal/partial gastrectomy; 3: Whipple's procedure and extended pancreatoduodenectomy; and 4: other operation methods.
Castellani et al., "Right hemicolectomy plus pancreaticoduodenectomy vs partial duodenectomy
in treatment of locally advanced right colon cancer invading pancreas and/or only duodenum," Surgical Oncology, vol.
 and surgical procedures like over sewing/ligation of varices, duodenal dearterialization and stapling, duodenectomy
After receiving treatment for anemia and congestive heart failure with blood transfusion and diuretics, the patient underwent distal gastrectomy and proximal duodenectomy
, on 28th of October, 2009 at the Department of Frontier Surgery, Chiba University Hospital, without any complication.
We report a patient with a duodenal adenocarcinoma that was successfully resected by pancreas-sparing duodenectomy
In this patient, the tumor could be resected with partial duodenectomy
because there was no infiltration into the pancreas or surrounding organs.
(whipple resections) in patients without malignancy.
Definitive management involved a total duodenectomy
, followed by an end-to-end gastrojejunostomy, choledochojejunosotomy and pancreaticojejunostomy.
Intraoperative assessment confirmed that the duodenal mass resection was not feasible using a robot, so the decision was made to convert to an open duodenectomy
using a supraumbilical midline incision.
As Table 1 shows, in cases oflarge Brunneromas, the chosen surgical interventions often include transduodenal excision or even more drastic approaches such as a partial gastrectomy, duodenectomy
, or even pancreaticoduodenectomy.
First, he performed a cholecystogastrostomy and posterior loop gastrojejunostomy, followed by a partial duodenectomy
, partial pancreatic head resection, and pancreatic stump occlusion weeks later.
* Pancreatico duodenectomy
, D2 resection for carcinoma stomach.