Parenchymal Sparing Resection: Options in Duodenal and Pancreatic Surgery

Parenchymal sparing duodenal and pancreatic resection are safe procedures in selected patients with the aim to reduce endocrine and exocrine long-term dysfunction. When the tumor is benign or borderline malignant, this appears to be a good option for the surgeon, associated with low rates of severe surgery-related early postoperative complications and low in-hospital mortality. This mini review offers comments, tips and tricks, and a review of literature concerning those different options with specific illustrations in order to clarify their indication.

Automated summary

Parenchymal sparing duodenal and pancreatic resection are safe procedures aimed at reducing long-term endocrine and exocrine dysfunction, particularly for benign or borderline malignant tumors. This option is associated with low rates of severe surgery-related early postoperative complications and in-hospital mortality.