Clinical-anatomical grounding for pancreatoduodenectomy with preservation of the lesser pancreas

Abstract

The article presents clinical-anatomical grounding and the first clinical experience of pancreatoduodenectomy with preservation of the lesser pancreas. Implementation of this technique is feasible due to relative anatomical and functional isolation of the lesser pancreas. For the first time in Russia, in the Clinic of Hospital Surgery of Siberian State Medical University pancreatoduodenectomy surgery with preservation of the lesser pancreas was successfully performed in female patient with cancer of the head of pancreas. Pancreatoduodenectomy with preservation of the lesser pancreas enables to augment surgical radicality and to achieve endocrine function of the pancreas at the level requiring relatively low doses of insulin therapy if any. This approach increases the length of life in this category of patients and preserves the quality of life.

Keywords

• pancreaticoduodenal resection
• lesser pancreas
• outcomes
• quality of life