ArticleInternational journal of surgery case reports2026
Simple pancreatoduodenectomy - simplified technique of pancreatoduodenectomy for benign and early malignant lesions of the ampullary region - case series.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction and importance: Pancreatoduodenectomy (PD) is the standard surgery performed for patients with malignant and benign diseases of the periampullary region. PD involves resection of not only the tissues in and around the ampulla but also a few vital organs, such the first part of the duodenum (D1), the first part of the jejunum, and the gallbladder (GB). Historically, these surrounding vital structures were resected for technical feasibility rather than for oncological outcomes in patients with periampullary tumors. Case presentation: We performed this modification of PD in 11 patients with periampullary tumors, and the outcomes were analyzed retrospectively. Technically, it was feasible in all patients, where we could preserve GB, D1, and the first part of jejunum. There was no 90-day mortality, and the overall morbidity was 36%. A tumor-free margin was achieved in all patients, and patients with malignant disease received adjuvant therapy within 4 weeks of surgery. Clinical discussion: This simplified technique of PD, performed only on the right side of the portal vein axis without removing extra structures like the stomach, D1, D4 of the duodenum, GB, and jejunum, avoids dissection in non-essential areas, reduces operative time and blood loss, and can help the patient recover quickly. Conclusion: A simple modification of PD, wherein preserving the vital structures like the GB, duodenum, and the first part of the jejunum, is safe and feasible in patients with benign and malignant diseases of the periampullary region. This technique showed oncological safety with low morbidity but requires large prospective studies to further establish its role in the management of these tumors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.