Pancreatic Head Resection with Second-Portion Duodenectomy for Intraductal Papillary Mucinous Tumor of the Head of the Pancreas

  • Seiki Tashiro
  • Hidenori Miyake


Duodenum-preserving pancreatic head resection (DPPHR) has been performed for benign pancreatic head diseases. However, preservation of arterial blood supply to the duodenum and common bile duct during duodenum-preserving total resection of the pancreatic head is a major problem. Complete resection of the pancreatic head with preservation of the common bile duct and duodenum sometimes causes common bile duct or duodenal necrosis due to ischemia. We describe herein a safe procedure for complete resection of the pancreatic head with segmental duodenectomy to prevent complications.


Common Bile Duct Superior Mesenteric Artery Main Pancreatic Duct Intraductal Papillary Mucinous Tumor Superior Mesenteric Vein 
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Copyright information

© Springer Japan 2004

Authors and Affiliations

  • Seiki Tashiro
    • 1
  • Hidenori Miyake
    • 1
  1. 1.The University of Tokushima School of MedicineTokushimaJapan

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