Segmental Duodenectomy at Periampullary Lesions – An adequate Therapy?

Background: The radical surgical procedure for treatment of the resectable periampullary tumors is the partial pancreatoduodenectomy or the pylorus-preserving pancreatectomy. In rare selected cases a segmental duodenectomy with reinsertion of the pancreatic and choledochus duct might be suitable alternative to improve the patient's quality of life. Materials and Methods: About 30 to 40 Patients were hospitalized annually with the diagnosis of a pancreatic or periampullary tumor at the SMZ-Süd – Kaiser Franz Josef Spital Department of Surgery. To ensure radical resection either a partial pancreatoduodenectomy or…