Objective:To explore the value of duodenum-preserving near-total pancreatic head resection (DPNTPHR) without segmental duodenectomy for treating benign benign tumor of pancreatic head (BTPH).
Methods:The clinical data of 4 patients with BTPH, treated by DPNTPHR from January 2004 to December 2009, were retrospectively analyzed. The operation carried out was near total resection of pancreatic head while preserving the integrity of gastrointestinal tract, extrahepatic bile duct, gallbladder and the sphincter of Oddi. A small amount of pancreatic tissue was left intact around the papilla of Vater and behind the bile duct.
Results: Histology confirmed one patient had intraductal papillary mucinous neoplasm, one endocrine tumor and two solid pseudopapillary tumors. No mortality occurred in the perioperative period. Pancreatic leakage occurred in two cases and was treated successfully with conservative method. For 8-20 months Follow-up, all the 4 patients are no sign of recurrence.
Conclusions:Duodenum-preserving near-total pancreatic head resection is a proper option for benign tumors in the head of pancreas, especially when pancreatic enucleation is difficult.