Publication details

Laparoscopic pancreaticoduodenectomy for ampullary adenocarcinoma - a case report

Authors

KUNOVSKÝ Lumír KALA Zdeněk PROCHÁZKA Vladimír DASTYCH Milan NOVOTNÝ Ivo TRNA Jan MAZANEC Jan ANDRAŠINA Tomáš EID Michal POTRUSIL Martin MORAVČÍK Petr

Type Article in Periodical
Magazine / Source Gastroenterologie a Hepatologie
MU Faculty or unit

Faculty of Medicine

Citation
Web http://www.csgh.info/cs/clanek/laparoskopicka-hemipankreatoduodenektomie-u-ampularniho-adenokarcinomu-kazuistika-10956
Doi http://dx.doi.org/10.14735/amgh2018401
Keywords adenocarcinoma of the ampulla of Vater; pancreaticoduodenectomy; surgery; periampullary tumors; pancreatic cancer; laparoscopy; endoscopy
Description Ampullary adenocarcinoma (AA) is rare disease, accounting for less than 1% of all digestive cancers, although it is the second most common cancer arising from the periampullary region (after pancreatic cancer). Treatment of ampullary neoplasia varies from endoscopic resection, transduodenal surgical ampullectomy to a pancreaticoduodenectomy. At the time of diagnosis, the curative surgical resection rate of AA is higher than that of pancreatic cancer (80% to 20%) and the 5-year survival rate is also signifcantly longer. Laparoscopic procedures in colorectal surgery became the standard and the beneft of early post-operative outcomes is well proven. In this article, we present a 68-year-old patient with AA treated by laparoscopic pancreaticoduodenectomy (LPD). We consider the pros and cons of LPD and open pancreaticoduodenectomy, discuss possible treatment options of AA (including endoscopy treatment), and present a current review of literature.