T. Nakagohri et al., RESECTION OF THE INFERIOR HEAD OF THE PANCREAS - REPORT OF A CASE, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 26(8), 1996, pp. 640-644
We developed a new technique for partial resection of the head of the
pancreas,vith an end-to-side pancreaticoduodenostomy, while preserving
the duodenum, the common bile duct, and the upper part of the head of
the pancreas around the duct of Santorini. A resection of the inferio
r head of the pancreas was performed in a patient with an intraductal
mucin-producing tumor of the pancreas. This procedure is considered to
be appropriate for treating both benign disease and noninvasive malig
nant disease involving either the uncinate process or the duct of Wirs
ung, because it removes both the uncinate process and the pancreatic t
issue around the duct of Wirsung. We thus believe that a resection of
the inferior head of the pancreas with an end-to-side pancreaticoduode
nostomy can help play a significant role in the management of patients
with benign diseases and localized malignant tumors of the pancreas.