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330 Ho et al. | Journal of Clinical and Translational Research 2023; 9(5): 327-331
Another technical consideration would be to perform an References
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and early-stage malignant duodenal lesions, Papalampros et al. Analogues and the Risk of Post-Operative Pancreatic
reported 10 patients with PSDR and 14 patients with transduodenal Fistulas after Pancreatic Resection-a Systematic Review
ampullectomies [20]. Although transduodenal ampullectomies and Meta-Analysis. Pancreatology 2020;20:158-68.
were associated with a shorter operative time (145 min vs. 183 min, [2] Serene TE, Vishalkumar SG, Padmakumar JS, Terence HC,
P < 0.05) and blood loss (85 vs. 125 ml, P < 0.05) compared to Keem LJ, Bei W, et al. Predictive Value of Post-Operative
PSDR, overall morbidity was 54.2% [20]. Thus, it appears that Drain Amylase Levels for Post-Operative Pancreatic
morbidity is inherent in the procedure regardless of duodenal Fistula. Ann Hepatobiliary Pancreat Surg 2018;22:397-404.
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Thus, the ampulla-preserving method was performed. Cho et al. of Gastrointestinal Stromal Tumors in Duodenum:
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from an exophytic hepatocellular carcinoma with a PSDR Duodenectomy? Cancer Manag Res 2020;12:4725-34.
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achieved negative margins with a distal duodenectomy. Kimura Pancreaticoduodenectomy for Primary Duodenal
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[8] Cantalejo-Díaz M, Ramia-Ángel JM, Palomares-
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Conflicts of Interest treatment of locally advanced right colon cancer invading
pancreas and/or only duodenum. Surg Oncol 2014;23:92-8.
There are no commercial associations that might create a [11] Mackey R, Walsh RM, Chung R, Brown N, Smith A,
conflict of interest in connection with this manuscript. Church J, et al. Pancreas-Sparing Duodenectomy is
Ethics Approval and Consent to Participate Effective Management for Familial Adenomatous
Polyposis. J Gastrointest Surg 2005;9:1088-93,
Ethics approval and consent from patient were obtained. discussion 1093.

Consent for Publication [12] Leite JS, Tralhão JG, Manso A, Fernandes M, Cunha I,
Amaro P. Pancreas-and Pylorus-Preserving Duodenectomy
Consent from patient has been obtained. for Advanced Familial Duodenal Polyposis. GE Port J
DOI: http://dx.doi.org/10.18053/jctres.09.202305.22-00228