Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy

Portal annular pancreas (PAP) is a pancreatic congenital anomaly consisting of pancreatic parenchyma encircling the portal vein and/or the superior mesenteric vein. It has been reported that the risk of developing a post-operative pancreatic fistula is higher following pancreaticoduodenectomy in pat...

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Detalles Bibliográficos
Autores principales: Zimmitti, Giuseppe, Manzoni, Alberto, Ramera, Marco, Villanacci, Alberta, Sega, Valentina, Treppiedi, Elio, Guerini, Francesca, Garatti, Marco, Codignola, Claudio, Rosso, Edoardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Unusual Case
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130175/
https://www.ncbi.nlm.nih.gov/pubmed/29582803
http://dx.doi.org/10.4103/jmas.JMAS_235_17
Descripción
Sumario:Portal annular pancreas (PAP) is a pancreatic congenital anomaly consisting of pancreatic parenchyma encircling the portal vein and/or the superior mesenteric vein. It has been reported that the risk of developing a post-operative pancreatic fistula is higher following pancreaticoduodenectomy in patients with PAP, probably because of the possibility of leaving undrained a portion of pancreatic parenchyma during the reconstructive phase. Few manuscripts have reported a surgical technique of pancreaticoduodenectomy in case of PAP, herein we report the first case of a patient with PAP undergoing laparoscopic pancreaticoduodenectomy.

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