Local excision of periampullary villous tumours of the duodenum

Aims: Our goal was to describe our technical approach to transduodenal submucosal resection of periampullary villous tumours of the duodenum. Methods: We address technical tips to aid in exposure and reconstruction of pancreaticobiliary continuity with special reference to the indications for adding biliary sphincteroplasty, pancreatic septectomy, and local resection of neoplasms extending past the immediate ampullary mucosa into the bile and/or pancreatic ducts. Conclusions: This approach has proven safe, easy and without significant morbidity.