Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy

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 pat...

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Main Authors: Giuseppe Zimmitti, Alberto Manzoni, Marco Ramera, Alberta Villanacci, Valentina Sega, Elio Treppiedi, Francesca Guerini, Marco Garatti, Claudio Codignola, Edoardo Rosso
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=4;spage=354;epage=356;aulast=Zimmitti
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author Giuseppe Zimmitti
Alberto Manzoni
Marco Ramera
Alberta Villanacci
Valentina Sega
Elio Treppiedi
Francesca Guerini
Marco Garatti
Claudio Codignola
Edoardo Rosso
author_facet Giuseppe Zimmitti
Alberto Manzoni
Marco Ramera
Alberta Villanacci
Valentina Sega
Elio Treppiedi
Francesca Guerini
Marco Garatti
Claudio Codignola
Edoardo Rosso
author_sort Giuseppe Zimmitti
collection DOAJ
description 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.
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spelling doaj.art-70fc5f3849524cec9275f2dc04b17e092022-12-21T23:01:36ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212018-01-0114435435610.4103/jmas.JMAS_235_17Management of portal annular pancreas during laparoscopic pancreaticoduodenectomyGiuseppe ZimmittiAlberto ManzoniMarco RameraAlberta VillanacciValentina SegaElio TreppiediFrancesca GueriniMarco GarattiClaudio CodignolaEdoardo RossoPortal 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.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=4;spage=354;epage=356;aulast=ZimmittiCircumportal pancreaslaparoscopic pancreaticoduodenectomypancreas anomalyportal annular pancreas
spellingShingle Giuseppe Zimmitti
Alberto Manzoni
Marco Ramera
Alberta Villanacci
Valentina Sega
Elio Treppiedi
Francesca Guerini
Marco Garatti
Claudio Codignola
Edoardo Rosso
Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
Journal of Minimal Access Surgery
Circumportal pancreas
laparoscopic pancreaticoduodenectomy
pancreas anomaly
portal annular pancreas
title Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_full Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_fullStr Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_full_unstemmed Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_short Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
title_sort management of portal annular pancreas during laparoscopic pancreaticoduodenectomy
topic Circumportal pancreas
laparoscopic pancreaticoduodenectomy
pancreas anomaly
portal annular pancreas
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=4;spage=354;epage=356;aulast=Zimmitti
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