Laparoscopic Pancreas-preserving Resection for Adenocarcinoma of the 3rd and 4th Portion of the Duodenum

Giuseppe Portale, MD, Valentino Fiscon, MD, Giovanni Migliorini, MD, Flavio Frigo, MD. Department of General Surgery


Primary adenocarcinoma of the duodenum is a very rare malignant neoplasm of the gastrointestinal tract: radical surgical treatment (respecting the oncological principles of complete tumor resection with free margins) usually requires pancreaticoduodenectomy but in selected cases segmental duodenal resection has also been considered. We have treated a 73-year old patient with a large polypoid lesion of the 3rd portion of the duodenum with a pancreas-sparing duodenectomy using a totally laparoscopic approach, accomplishing a successful radical margin-free resection (second report in the Literature -to date- for duodenal tumor involving the 3rd portion of the duodenum). Twelve-month endoscopic and radiologic follow-up have confirmed the good oncological results, the patient being free of disease.

Session Number: SS19 – Videos: HPB (Hepatobiliary and Pancreas)
Program Number: V038

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