MINIMALLY INVASIVE RESECTION OF HIGH-RISK DUODENAL ADENOMA VIA LAPAROSCOPIC PANCREAS-SPARING PARTIAL DUODENECTOMY WITH COMMON BILE DUCT EXPLORATION
Rachel C. Kim*, Paul E. Skelly, Eugene P. Ceppa
Surgery, Indiana University School of Medicine, Indianapolis, IN
Duodenal adenomas are often require resection if symptomatic or if they demosntrate high-risk or malignant features. While endoscopic resection is preferred if safely feasible, sometimes surgical resection is necessary due to their size or location. Formal surgical resection often requires resection of the ampulla and head of the pancreas, even when the mass itself does not involve these structures, via Whipple procedure. However, the Whipple operation remains a highly morbid procedure, commonly complicated by pancreatic fistula. In this video, we present the laparoscopic resection of a high-risk duodenal adenoma, completely sparing the pancreas, ampulla, and common bile duct.
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