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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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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:
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
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author Zimmitti, Giuseppe
Manzoni, Alberto
Ramera, Marco
Villanacci, Alberta
Sega, Valentina
Treppiedi, Elio
Guerini, Francesca
Garatti, Marco
Codignola, Claudio
Rosso, Edoardo
author_facet Zimmitti, Giuseppe
Manzoni, Alberto
Ramera, Marco
Villanacci, Alberta
Sega, Valentina
Treppiedi, Elio
Guerini, Francesca
Garatti, Marco
Codignola, Claudio
Rosso, Edoardo
author_sort Zimmitti, Giuseppe
collection PubMed
description 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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spelling pubmed-61301752018-10-01 Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy Zimmitti, Giuseppe Manzoni, Alberto Ramera, Marco Villanacci, Alberta Sega, Valentina Treppiedi, Elio Guerini, Francesca Garatti, Marco Codignola, Claudio Rosso, Edoardo J Minim Access Surg Unusual Case 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. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6130175/ /pubmed/29582803 http://dx.doi.org/10.4103/jmas.JMAS_235_17 Text en Copyright: © 2018 Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Unusual Case
Zimmitti, Giuseppe
Manzoni, Alberto
Ramera, Marco
Villanacci, Alberta
Sega, Valentina
Treppiedi, Elio
Guerini, Francesca
Garatti, Marco
Codignola, Claudio
Rosso, Edoardo
Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_full Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_fullStr Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_full_unstemmed Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_short Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_sort management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
topic Unusual Case
url 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
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