Pancreas-preserving total duodenectomy

Gregory G. Tsiotos, Michael G. Sarr

Research output: Contribution to journalArticlepeer-review

58 Scopus citations


The concept of operations to be 'as resective as necessary and as organ-preserving as possible' has led to the novel technique of resection of the entire duodenum, with complete preservation of the head of the pancreas, as a better alternative to the classic pancreaticoduodenectomy. This operation requires meticulous technique and precise knowledge of pancreatic and peripancreatic anatomy. Indications include benign or premalignant conditions confined to the duodenal mucosa, usually familial adenomatous polyposis. When appropriately performed, pancreas-preserving total duodenectomy leads to shorter operative time, requires less and safer anastomoses, and optimizes postoperative endoscopic surveillance. The available long-term results are encouraging.

Original languageEnglish (US)
Pages (from-to)398-403
Number of pages6
JournalDigestive Surgery
Issue number5
StatePublished - 1998


  • Duodenal tumors
  • Duodenectomy, pancreas-preserving
  • Duodenum
  • Familial adenomatous polyposis
  • Pancreatectomy
  • Whipple operation

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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