An experimental study on the changes in the pancreatic exocrine functions before and after pancreaticoduodenectomy (PD) for the treatment of periampullary carcinoma was performed. Pancreatic insufficiency models with pancreatic duct stenosis was prepared with dogs by giving them complete ligation of the minor pancreatic duct and intubation into the major pancreatic duct. After 3 months of pancr...

Resection represents the single hope for long-term survival in a patient diagnosed with a hilar cholangiocarcinoma (Klatskin tumor). However, the largest part of these patients develops a recurrent disease. Second metachronous periampullary cancers after a curative-intent surgery for a Klatskin tumor represent an exceptional pathology, and the management of these patients was poorly documented....

Laparoscopic pancreatic surgery is one of the most sophisticated and advanced applications of laparoscopy in the current surgical practice. The adoption of laparoscopic pancreaticoduodenectomy (LPD) has been relatively slow due to the technical challenges. The aim of this study is to review and characterize our successful LPD experiences in patients with distal bile duct carcinoma, periampullar...

HYPOTHESIS Duodenal-preserving resection of the head of the pancreas (DPRHP) and pancreas head resection with segmental duodenectomy (PHRSD) can be alternatives to standard pancreaticoduodenectomy for benign periampullary lesions. DESIGN Retrospective analysis of patients requiring surgery for benign and borderline malignant tumors of the periampullary region. SETTING Tertiary care referral...

BACKGROUND Cystic lesions on the pancreatic head can mimic fluid-filled duodenal or periampullary diverticula. We reviewed a series of cases in which periampullary diverticula were misdiagnosed as cystic pancreatic lesions. CASE REPORT Case 1. A Chinese woman presented to the surgical outpatient clinic for intermittent upper abdominal discomfort. Contrast-enhanced MRI of the abdomen revealed ...

Multiple neoplastic lesions at separate gastrointestinal sites is rare with incidence of 0.7-11%. Majority primary neoplasms (MPN's) are double while triple/quadruple malignancies extremely a ratio 2.7:1. Patients periampullary having lesion in stomach or gastroesophageal junction rare. These patients requiring Whipple's pancreaticoduodenectomy (PD) resection the adjoining for R0 Resection rare...