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Case Reports
Hand-assisted laparoscopic pylorus-preserving pancreaticoduodenectomy for pancreas head disease.
- Yasutoshi Kimura, Koichi Hirata, Mitsuhiro Mukaiya, Toru Mizuguchi, Kazumitsu Koito, and Tadashi Katsuramaki.
- First Department of Surgery, Sapporo Medical University School of Medicine, S-1, W-16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan. kimuray@sapmed.ac.jp
- Am. J. Surg. 2005 Jun 1;189(6):734-7.
AbstractLaparoscopic procedures for pancreatic surgery have been significantly improved recently; however, the number of successful laparoscopic or laparoscopy-assisted pancreaticoduodenectomies (PDs) has been limited. The limitations could be attributed to the complexity of the reconstruction procedures under laparoscopic observations and the high incidence of critical morbidity with PDs. To overcome the shortcomings, we developed the first hand-assisted laparoscopic pylorus-preserving PD and, in this report, present the case of a patient with a low-grade malignant tumor on the pancreas head.
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