After pancreatico duodenectomy
the pancreatic reconstruction was carried out either by pancreatico jejunostomy (duct to mucosa type, dunken in type) or double layer pancreatico gastrostmy.
Reported surgical cases of RH have necessitated associated interventions, including nephrectomy, splenectomy, duodenectomy
, and pancreatectomy.
9] and surgical procedures like over sewing/ligation of varices, duodenal dearterialization and stapling, duodenectomy
Definitive management involved a total duodenectomy
, followed by an end-to-end gastrojejunostomy, choledochojejunosotomy and pancreaticojejunostomy.
We report a patient with a duodenal adenocarcinoma that was successfully resected by pancreas-sparing duodenectomy
(whipple resections) in patients without malignancy.