DUODENUM-PRESERVING PANCREATIC HEAD RESECTION FOR CHRONIC PANCREATITIS, BENIGN AND PREMALIGNANT TUMORS OF THE PANCREAS

Objective. To report the institutional experience of evolution duodenum-preserving pancreatic head resection (DPPHR) as a surgical treatment for chronic pancreatitis with an inflammatory tumor well cystic and benign, premalignant neoplasms neuroendocrine tumors head. Methods. DPPHR is associated preservation gastric antrum, common bile duct duodenum/upper jejunal loop, contrary to Kausch-Whipple resection, which multivisceral procedure, including duodenectomy. Duodenum-preserving was first established in clinical setting Berlin 1969. Results. For infiltrat head, has become standard worldwide acceptance. In series 603 patients following DPPHR, frequency fistula 3.3 %, intra-abdominal abscess 2.8 hemorrhage reoperation 5.6%, in-hospital mortality 0.82 % 90-day rehospitalisation 8 %. benign used predominantly IPMN, MCN SPN tumors. review international publications comprising 503 patients, general morbidity 38.2 severe surgery-related complications 12.7% them B+C 13.6 resurgery 2.7 0.4 When are treated local lymph node dissection additionally recommended. The long-term revealed new onset diabetes mellitus exocrine dysfunctions only 5-7 patients. Conclusion. considerable high metabolic complications. Duodenum-sparing tumor, neoplasms, advantage duodenum maintenance endocrine functions.