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Enucleation and Transduodenal Surgical Ampullectomy for Pancreatic and Periampullary Neoplasms: How I Do It

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Surgery for Pancreatic and Periampullary Cancer

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Abstract

Enucleation and transduodenal surgical ampullectomy are parenchyma-sparing surgical procedures for the management of benign and premalignant tumors of the pancreas and benign pathologies of the ampulla of Vater including adenomas and stenosis. These procedures offer significant advantages with respect to postoperative pancreatic function when compared to formal pancreatic resections, such as pancreaticoduodenectomy, distal pancreatectomy, or total pancreatectomy. Both enucleation and surgical ampullectomy are technically challenging but can be performed safely by the experienced pancreatic surgeon. In this chapter the indications, perioperative management, and outcomes of enucleation and surgical ampullectomy are discussed, and the techniques for both procedures are described in a detailed stepwise manner.

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Author information

Authors and Affiliations

  1. Department of General Surgery, University Hospital Heidelberg, Heidelberg, Germany

    J. Kaiser, P. Contin & O. Strobel

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  1. J. Kaiser
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  2. P. Contin
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  3. O. Strobel
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Corresponding author

Correspondence to O. Strobel .

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Editors and Affiliations

  1. Chief Hepato-Pancreato-Biliary and Gastrointestinal Division, Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, U.P., India

    Mallika Tewari

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Kaiser, J., Contin, P., Strobel, O. (2018). Enucleation and Transduodenal Surgical Ampullectomy for Pancreatic and Periampullary Neoplasms: How I Do It. In: Tewari, M. (eds) Surgery for Pancreatic and Periampullary Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-7464-6_23

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  • DOI: https://doi.org/10.1007/978-981-10-7464-6_23

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  • Online ISBN: 978-981-10-7464-6

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