ArticleSurgical endoscopy2026
Laparoscopic duodenum-preserving total pancreatic head resection for benign and low-grade malignant tumors close to the accessory papilla (a case series).
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06763250 (Risk Factors Influencing Textbook Outcomes in PD Surgery-a Single-center Analysis), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Risk Factors Influencing Textbook Outcomes in PD Surgery-a Single-center Analysis
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Laparoscopic duodenum-preserving pancreatic head resection in 459 patients for precancerous, cystic neoplasms, and neuroendocrine tumors. Perioperative outcome: systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Quantitative indocyanine green fluorescence imaging in laparoscopic duodenum-preserving pancreatic head resection.Surgical endoscopy · 2026Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTo describe methods for complete resection of pancreatic tissue in the vicinity of the accessory papilla in duodenum-preserving total pancreatic head resection (DPPHRt).
methodsThirteen consecutive patients (four males, nine females; mean age: 48 ± 20.80 y) with pancreatic head benign or low-grade malignant tumors (mean maximum tumor diameter: 4.88 ± 1.40 cm) underwent laparoscopic DPPHRt. Surgical approach for pancreatic tissue resection in accessory papilla region involved partial preservation (excision group, n = 6) or complete resection (en bloc group, n = 7). Depending on the extent of duodenal wall injury, direct suture repair or jejunal loop seromuscular patching was performed.
resultsAll patients underwent laparoscopic DPPHRt successfully. Mean operative time was 6.58 ± 0.38 h in excision group (case 2 excluded) and 5.89 ± 0.82 h in en bloc group (P > .05), while the mean intraoperative bleeding volume between two groups were 54 ± 23.29 mL and 60.71 ± 21 mL (P > .05), respectively. Mean length of hospital stay was 22 ± 8.8 days in excision group (case 2 excluded) and 14.14 ± 4.91 days in en bloc group (P > .05). In en bloc group, six patients had minor injuries of the duodenum, which were repaired by direct suture; one patient had a larger and deeper duodenal defect that was repaired with jejunal loop seromuscular patching. Postoperative complications included four cases of grade B pancreatic fistula and two of intra-abdominal residual infection. There was no statistically difference in incidence of postoperative complications between two groups (P > .05). All patients were followed up for a mean of 26.39 ± 9.40 months. There was no tumor recurrence, metastasis, duodenal or bile duct stricture or obstruction.
conclusionsComplete resection of pancreatic parenchyma in the vicinity of the accessory papilla is feasible and safe in DPPHRt. The repair of duodenal injuries should be tailored to individual cases, utilizing direct suturing or jejunal loop seromuscular patching. Clinical Trials Platform Registration Number: NCT06763250.
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