Losada H, Portillo N, Troncoso A, Becker R, Vera R. PARTIAL DISTAL DUODENECTOMY IN PATIENT WITH ADENOCARCINOMA.
Arq Bras Cir Dig 2024;
37:e1796. [PMID:
38511813 PMCID:
PMC10949927 DOI:
10.1590/0102-672020240003e1796]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 12/02/2023] [Indexed: 03/22/2024]
Abstract
BACKGROUND
Duodenal adenocarcinoma is a small percentage of gastrointestinal neoplasms, around 0.5%, and its treatment is based on resection of the tumor, classically by pancreaticoduodenectomy. In recent years, however, segmental resections of duodenal lesions, that do not involve the second portion or the periampullary region, have gained relevance with good surgical and oncological outcomes as well as the benefit of avoiding surgeries that can result in high morbidity and mortality.
AIMS
To report a case of an elderly female patient with malignant neoplastic lesion in the third and fourth duodenal portion, non-obstructive, submitted to surgical treatment.
METHODS
The technical option was the resection of the distal duodenum and proximal jejunum with preservation of the pancreas and reconstruction with side-to-side duodenojejunal anastomosis.
RESULTS
The evolution was satisfactory and the surgical margins were free of neoplasia.
CONCLUSIONS
Segmental resections of the duodenum are feasible and safe, offering the benefit of preventing complications of pancreaticoduodenectomies.
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