| UNUSUAL CASE |
|
| Year : 2018 | Volume
: 14
| Issue : 4 | Page : 354-356 |
Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
Giuseppe Zimmitti1, Alberto Manzoni1, Marco Ramera1, Alberta Villanacci2, Valentina Sega1, Elio Treppiedi1, Francesca Guerini1, Marco Garatti1, Claudio Codignola1, Edoardo Rosso1
1 Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
2 Department of Radiology and Diagnostic Imaging, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Correspondence Address:
Dr. Giuseppe Zimmitti
Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Via Bissolati 57, 25124 Brescia
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jmas.JMAS_235_17
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.
[FULL TEXT] [PDF]*
|
