Clinical application of improved resection of pancreatic head with preserved duodenum(16 cases report)

Objective To discuss the indications of improved resection of pancreatic head with preserved duodenum and how to chose the specific pattern of operation.Methods Clinical data of 16 patients who received improved resection of pancreatic head with preserved duodenum from January 2006 to January 2012 in our hospital was collected.Results No death related to the processure occurred.One patient had postoperative pancreatic fistula,yet no biliary fistula and duodenum fistula occurred.Conclusion Improved resection of pancreatic head with preserved duodenum is a safe processure with less surgical trauma and resection range,which was due to full retention of duodenal vascular supply and preserving the continuity of the stomach,biliary and duodenal.Thus,it can be used as a pattern of local resection of benign and low malignant tumor in pancreatic head and neck.