Duodeno-Pancreatic Preservation in a Big Tumor of the Uncinate Process: A Tactic in Patients Previously Submitted to Total Colectomy

Kassab P,Nara F

doi:10.4172/2165-7920.1000831

Abstract

The possibility of preserving the duodenum and pancreas in the uncinate process neoplasms is, in general, reserved to less aggressive tumors. The literature describes this type of surgery for intraductal papillary mucinous neoplasms (IPMNs), or for cystic tumors.

Highlights

The possibility of preserving the duodenum and pancreas in the uncinate process neoplasms is, in general, reserved to less aggressive tumors. The literature describes this type of surgery for intraductal papillary mucinous neoplasms (IPMNs), or for cystic tumors [1,2,3]
The resection of the pancreatic head and its impact in the quality of life (QoL) were exhaustively discussed with the patient who agreed with the surgery, but asked, if possible, to a less aggressive procedure
Less than 30% are located in the pancreatic head and exceptionally in the uncinate process

Summary

Introduction

The possibility of preserving the duodenum and pancreas in the uncinate process neoplasms is, in general, reserved to less aggressive tumors. In patients who had previously undergone a subtotal colectomy, the removal of the pancreatic head would cause severe metabolic and nutritional consequences and probably a chronic and with difficult control diarrhea. The resection of the pancreatic head and its impact in the quality of life (QoL) were exhaustively discussed with the patient who agreed with the surgery, but asked, if possible, to a less aggressive procedure.

Results

Conclusion