Laparoscopic pancreas-preserving total duodenectomy for familial adenomatous polyposis |
| |
Authors: | Benetatos Nikolaos Ammori Mohannad B Ammori Basil J |
| |
Institution: | Department of Surgery, North Manchester General Hospital, University of Manchester, Manchester, UK. |
| |
Abstract: | Patients with duodenal polyps associated with familial adenomatous polyposis (FAP) have a considerable risk of developing duodenal carcinoma. Prophylactic resection of the duodenum for Spigelman stage III disease is the treatment of choice to prevent progression to cancer. Pancreaticoduodenectomy and pancreas-preserving total duodenectomy (PPTD) are the techniques that have been described for the surgical treatment of duodenal polyposis. We report the first case of laparoscopic PPTD in a patient with previous total colectomy for FAP and Spigelman stage III duodenal polyposis. A laparoscopic total dissection of the duodenum was carried out and the restoration was achieved performing pancreatico-biliary-jejunostomy and gastrojejunostomy. The postoperative period was uneventful. Laparoscopic PPTD can be performed safely in selected cases for the management of FAP. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|