Effect of Duodenum-Preserving Pancreatic Head Resection for 14 Cases of Benign Lesions in Pancreatic Head_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANGKe-wei , LIYu-ji ,  DONGMing , KONGFan-min

Department of Gastrointestinal Surgery, The First Affiliated Hospital, China Medical University, Shenyang 110001, Liaoning Province, China;

Corresponding author：

DONGMing, Email: mingdong@mail.cmu.edu.cn

Keywords：

Duodenum-preserving pancreatic head resection; Benign lesions in pancreatic head; Effect

DOI：

10.7507/1007-9424.20140364

Video：

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Objective To explore the value of duodenum-preserving pancreatic head resection for benign lesions in pancreatic head. Methods Clinical data of 14 patients with benign lesions in pancreatic head who were underwent duodenum-preserving pancreatic head resection from Jan. 1995 to Dec. 2012 were retrospectively analyzed, to explore the value of the surgery. Results All surgeries of the 14 patients were success. The operation time were 4.0-6.5 hours (5.2 hours on average), the intraoperative blood loss were 100-1 000 mL (450 mL on average). Postoperative complications happened in 3 patients (21.4%), including pancreatic fistula in 2 patients and biliary fistula in 1 patient, which were cured with non-surgical treatment. No deaths happened during surgery and hospitalization. Of the 14 patients, 13 patients were followed-up for 6 months to 2 years with no recurrence, diabetes, postoperative gastric emptying disorders, and other long-term complications happened. Conclusion Duodenum-preserving pancreatic head resection is the safe and effective treatment of benign lesions in the head of pancreas.

Citation： WANGKe-wei, LIYu-ji, DONGMing, KONGFan-min. Effect of Duodenum-Preserving Pancreatic Head Resection for 14 Cases of Benign Lesions in Pancreatic Head. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(12): 1548-1551. doi: 10.7507/1007-9424.20140364 Copy

1.	Beger HG, Schlosser W, Friess HM, et al.Duodenum-preserving head resection in chronic pancreatitis changes the natural course of the disease:a single-center 26-year experience[J].Ann Surg, 1999, 230(4):512-519.
2.	赵玉沛.胰腺病学[M].北京:人民卫生出版社, 2007:381-382.
3.	宋少伟, 郭克建.胰头部包块的诊断和鉴别诊断[J].中国普外基础与临床杂志, 2013, 20(2):127-128.
4.	孙备, 孔瑞.胰头部良性肿块治疗方式选择与评价[J].中国实用外科杂志, 2009, 29(8):641-644.
5.	匡天涛, 靳大勇.胰腺良性肿瘤术中判断及决策[J].中国实用外科杂志, 2008, 28(5):342-344.
6.	Beger HG, Büchler M.Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis with inflammatory mass in the head[J].World J Surg, 1990, 14(1):83-87.
7.	李雪松, 戈小虎.保留十二指肠的胰头切除术治疗无功能胰岛细胞瘤一例[J].中华普通外科杂志, 2004, 19(3):168.
8.	代文杰, 赵金朋, 许军, 等.保留十二指肠的胰头切除术1例[J].肝胆胰外科杂志, 2005, 17(3):186.
9.	王其海, 杜义安, 黄灵, 等.保留十二指肠的胰头切除治疗胰头良性肿瘤6例临床分析[J].中国肿瘤, 2008, 17(4):328-330.
10.	Beger HG, Gansauge F, Siech M, et al.Duodenum-preserving total pancreatic head resection for cystic neoplastic lesions in the head of the pancreas[J].J Hepatobiliary Pancreat Surg, 2008, 15(2):149-156.
11.	熊炯炘, 张树华, 陶京, 等.改良的保留十二指肠胰头全切除术[J/CD].中华普外科手术学杂志:电子版, 2009, 3(1):397-400.
12.	包兆康, 黄新余, 王晓峰, 等.保留十二指肠胰头切除术治疗隐匿性胰岛素瘤一例[J].外科理论与实践, 2010, 15(2):186-187.
13.	周建平, 张勇, 董明, 等.保留十二指肠的胰头近全切除术治疗胰头部良性肿瘤[J].中国普通外科杂志, 2011, 20(3):222-226.
14.	龚道军, 张家敏, 毛根军, 等.保留十二指肠的胰头切除术12例临床分析[J].肝胆胰外科杂志, 2011, 23(3):219-220.
15.	Peng CH, Shen BY, Deng XX, et al.Early experience for the robotic duodenum-preserving pancreatic head resection[J].World J Surg, 2012, 36(5):1136-1141.
16.	孙昌勤, 陈建勋, 熊勇, 等.改良的保留十二指肠胰头切除术临床应用(附16例报告)[J].四川医学, 2012, 33(8):1385-1386.
17.	姜青锋, 申权, 李珂, 等.保留十二指肠的胰头切除术治疗胰头部良性肿瘤[J].中华普通外科杂志, 2013, 28(5):341-343.
18.	Pedrazzoli S, Canton SA, Sperti C.Duodenum-preserving versus pyloruspreserving pancreatic head resection for benign and premalignant lesions[J].J Hepatobiliary Pancreat Sci, 2011, 18(1):94-102.
19.	Tsutsumi K, Ohtsuka T, Mori Y, et al.Analysis of lymph node metastasis in pancreatic neuroendocrine tumors (PNETs) based on the tumor size and hormonal production[J].J Gastroenterol, 2012, 47(6):678-685.
20.	郭克建, 田雨霖, 董明, 等.保留十二指肠的胰头切除术[J].中国实用外科杂志, 1995, 15(9):568-571.
21.	郭克建, 田雨霖, 杨茂栋, 等.改良的保留十二指肠胰头切除术[J].中华外科杂志, 1996, 34(12):762-764.
22.	Tsuchikawa T, Hirano S, Tanaka E, et al.Modified duodenum-preserving pancreas head resection for low-grade malignant lesion in the pancreatic head[J].Pancreatology, 2013, 13(2):170-174.
23.	Horiguchi A, Miyakawa S, Ishihara S, et al.Surgical design and outcome of duodenum-preserving pancreatic head resection for benign or low-grade malignant tumors[J].J Hepatobiliary Pancreat Sci, 2010, 17(6):792-797.
24.	Gong DJ, Zhang JM, Mao GJ, et al.Duodenum-preserving pancreatic head resection vs.pancreatoduodenectomy for benign lesions and low-grade malignancies of the pancreatic head[J].Hepatogastroenterology, 2013, 60(121):19-22.
25.	朱世凯, 吴河水, 周玉, 等.保留十二指肠胰头切除术后并发症的防治体会[J].中华肝胆外科杂志, 2009, 15(11):813-815.
26.	Yeo CJ, Cameron JL, Sohn TA, et al.Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s:pathology, complications, and outcomes[J].Ann Surg, 1997, 226(3):248-257.
27.	Lü WP, Shi Q, Zhang WZ, et al.A meta-analysis of the long-term effects of chronic pancreatitis surgical treatments:duodenum preserving pancreatic head resection versus pancreatoduodenectomy[J].Chin Med J (Engl), 2013, 126(1):147-153.
28.	Zheng Z, Xiang G, Tan C, et al.Pancreaticoduodenectomy versus duodenum-preserving pancreatic head resection for the treatment of chronic pancreatitis[J].Pancreas, 2012, 41(1):147-152.

1. Beger HG, Schlosser W, Friess HM, et al.Duodenum-preserving head resection in chronic pancreatitis changes the natural course of the disease:a single-center 26-year experience[J].Ann Surg, 1999, 230(4):512-519.
2. 赵玉沛.胰腺病学[M].北京:人民卫生出版社, 2007:381-382.
3. 宋少伟, 郭克建.胰头部包块的诊断和鉴别诊断[J].中国普外基础与临床杂志, 2013, 20(2):127-128.
4. 孙备, 孔瑞.胰头部良性肿块治疗方式选择与评价[J].中国实用外科杂志, 2009, 29(8):641-644.
5. 匡天涛, 靳大勇.胰腺良性肿瘤术中判断及决策[J].中国实用外科杂志, 2008, 28(5):342-344.
6. Beger HG, Büchler M.Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis with inflammatory mass in the head[J].World J Surg, 1990, 14(1):83-87.
7. 李雪松, 戈小虎.保留十二指肠的胰头切除术治疗无功能胰岛细胞瘤一例[J].中华普通外科杂志, 2004, 19(3):168.
8. 代文杰, 赵金朋, 许军, 等.保留十二指肠的胰头切除术1例[J].肝胆胰外科杂志, 2005, 17(3):186.
9. 王其海, 杜义安, 黄灵, 等.保留十二指肠的胰头切除治疗胰头良性肿瘤6例临床分析[J].中国肿瘤, 2008, 17(4):328-330.
10. Beger HG, Gansauge F, Siech M, et al.Duodenum-preserving total pancreatic head resection for cystic neoplastic lesions in the head of the pancreas[J].J Hepatobiliary Pancreat Surg, 2008, 15(2):149-156.
11. 熊炯炘, 张树华, 陶京, 等.改良的保留十二指肠胰头全切除术[J/CD].中华普外科手术学杂志:电子版, 2009, 3(1):397-400.
12. 包兆康, 黄新余, 王晓峰, 等.保留十二指肠胰头切除术治疗隐匿性胰岛素瘤一例[J].外科理论与实践, 2010, 15(2):186-187.
13. 周建平, 张勇, 董明, 等.保留十二指肠的胰头近全切除术治疗胰头部良性肿瘤[J].中国普通外科杂志, 2011, 20(3):222-226.
14. 龚道军, 张家敏, 毛根军, 等.保留十二指肠的胰头切除术12例临床分析[J].肝胆胰外科杂志, 2011, 23(3):219-220.
15. Peng CH, Shen BY, Deng XX, et al.Early experience for the robotic duodenum-preserving pancreatic head resection[J].World J Surg, 2012, 36(5):1136-1141.
16. 孙昌勤, 陈建勋, 熊勇, 等.改良的保留十二指肠胰头切除术临床应用(附16例报告)[J].四川医学, 2012, 33(8):1385-1386.
17. 姜青锋, 申权, 李珂, 等.保留十二指肠的胰头切除术治疗胰头部良性肿瘤[J].中华普通外科杂志, 2013, 28(5):341-343.
18. Pedrazzoli S, Canton SA, Sperti C.Duodenum-preserving versus pyloruspreserving pancreatic head resection for benign and premalignant lesions[J].J Hepatobiliary Pancreat Sci, 2011, 18(1):94-102.
19. Tsutsumi K, Ohtsuka T, Mori Y, et al.Analysis of lymph node metastasis in pancreatic neuroendocrine tumors (PNETs) based on the tumor size and hormonal production[J].J Gastroenterol, 2012, 47(6):678-685.
20. 郭克建, 田雨霖, 董明, 等.保留十二指肠的胰头切除术[J].中国实用外科杂志, 1995, 15(9):568-571.
21. 郭克建, 田雨霖, 杨茂栋, 等.改良的保留十二指肠胰头切除术[J].中华外科杂志, 1996, 34(12):762-764.
22. Tsuchikawa T, Hirano S, Tanaka E, et al.Modified duodenum-preserving pancreas head resection for low-grade malignant lesion in the pancreatic head[J].Pancreatology, 2013, 13(2):170-174.
23. Horiguchi A, Miyakawa S, Ishihara S, et al.Surgical design and outcome of duodenum-preserving pancreatic head resection for benign or low-grade malignant tumors[J].J Hepatobiliary Pancreat Sci, 2010, 17(6):792-797.
24. Gong DJ, Zhang JM, Mao GJ, et al.Duodenum-preserving pancreatic head resection vs.pancreatoduodenectomy for benign lesions and low-grade malignancies of the pancreatic head[J].Hepatogastroenterology, 2013, 60(121):19-22.
25. 朱世凯, 吴河水, 周玉, 等.保留十二指肠胰头切除术后并发症的防治体会[J].中华肝胆外科杂志, 2009, 15(11):813-815.
26. Yeo CJ, Cameron JL, Sohn TA, et al.Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s:pathology, complications, and outcomes[J].Ann Surg, 1997, 226(3):248-257.
27. Lü WP, Shi Q, Zhang WZ, et al.A meta-analysis of the long-term effects of chronic pancreatitis surgical treatments:duodenum preserving pancreatic head resection versus pancreatoduodenectomy[J].Chin Med J (Engl), 2013, 126(1):147-153.
28. Zheng Z, Xiang G, Tan C, et al.Pancreaticoduodenectomy versus duodenum-preserving pancreatic head resection for the treatment of chronic pancreatitis[J].Pancreas, 2012, 41(1):147-152.

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Effect of Duodenum-Preserving Pancreatic Head Resection for 14 Cases of Benign Lesions in Pancreatic Head

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