SEGMENTAL RESECTION OF THE DUODENUM INCLUDING THE PAPILLA OF VATER FOR FOCAL CANCER IN ADENOMA

Background/Aim: Adenoma of the papilla of Vater is a premalignant Lesi on frequently associated with focal cancer. This adenoma has been trea ted by a variety of methods, and a consensus for its standard treatmen t has not been reached. A method of resection which is safe and reliab le is desired. Method: The distal part of duodenum and pancreas were s eparated. The pancreatic and bile ducts were exposed outside the pancr eas and duodenum, respectively, and transected. Segmental resection of the distal part of the duodenum including the papilla of Vater was pe rformed. The jejunum was elevated and anastomosed with the duodenum, b ile duct, and pancreatic duct. Results: The resection was safely perfo rmed on two patients with focal cancer in adenoma. Delayed gastric emp tying which continued for 2 to 3 weeks, occurred in both patients. Pos toperatively, the patients resumed a normal life and weigh the same as before surgery. Conclusion: Segmental resection of the duodenum inclu ding the papilla of Vater is a safe and effective treatment method for adenoma of the papilla of Vater, a premalignant neoplasm that is freq uently associated with cancer.