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Pancreas-preserving limited duodenal resection: Minimizing morbidity without compromising oncological adequacy by Ajay Sharma; Anand Nagar; Peeyush Varshney; Maunil Tomar; Shashwat Sarin; Rajendra Prasad Choubey; V. K. Kapoor is a Medicine article available to read on EtoBox.

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## Backgrounds/Aims Pancreaticoduodenectomy is the most common procedure for the management of duodenal pathologies. However, it is associated with substantial morbidity and a low risk of mortality. Pancreas-preserving limited duodenal resection (PPLDR) can be performed under specific scenarios. We share our experience with PPLDR and its outcome. ## Methods We retrospectively analyzed a prospectively maintained database of patients undergoing limited duodenal resection in the form of wedge (sleeve) resection or segmental resection of one or more duodenal segments from March 2016 to March 2021 at a tertiary care center in North India. ## Results During the study period, 10 patients (including 9 males) underwent PPLDR. Five of these 10 patients showed primary duodenal or proximal jejunal pathology, while the remaining five had duodenal pathology involving an adjacent organ tumor. Four patients underwent wedge (sleeve) resection, while the remaining six underwent segmental duodenal resection of one or more duodenal segments. Mean hospital stay was 6 days (range, 3-11 days) without 30-day mortality. Morbidity occurred in 4 patients (Grade I-II, n = 3; Grade III, n = 1). All patients we

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Author

Ajay Sharma; Anand Nagar; Peeyush Varshney; Maunil Tomar; Shashwat Sarin; Rajendra Prasad Choubey; V. K. Kapoor

Published

2022

Language

EN

Field

Medicine (Health Sciences)