Open AccessManagement of portal annular pancreas during laparoscopic pancreaticoduodenectomy
Author(s) -
Giuseppe Zimmitti,
Alberto Manzoni,
Marco Ramera,
Alberta Villanacci,
Valentina Sega,
Elio Treppiedi,
F. Guerini,
Marco Garatti,
Claudio Codignola,
Edoardo Rosso
Publication year - 2018
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_235_17
Subject(s) - medicine , pancreaticoduodenectomy , pancreas , superior mesenteric vein , annular pancreas , portal vein , pancreatic fistula , parenchyma , surgery , splenic vein , radiology , general surgery , portal hypertension , gastroenterology , pathology , cirrhosis
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.