Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy | Zendy

Giuseppe Zimmitti | Zendy; Alberto Manzoni | Zendy; Marco Ramera | Zendy; Alberta Villanacci | Zendy; Valentina Sega | Zendy; Elio Treppiedi | Zendy; Francesca Guerini | Zendy; Marco Garatti | Zendy; Claudio Codignola | Zendy; Edoardo Rosso | Zendy

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Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy

Author(s) -

Giuseppe Zimmitti,

Alberto Manzoni,

Marco Ramera,

Alberta Villanacci,

Valentina Sega,

Elio Treppiedi,

Francesca 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.

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