A New Procedure for Duodenum-Preserving Total Resection of the Head of the Pancreas with Pancreaticocholedochoduodenostomy

Since pancreatoduodenectomy was originally described by Whipple et al. [1] in 1935, the Whipple procedure has long been performed with modifications and refinements. The indications for the Whipple procedure have recently become widened. An extended radical pancreatoduodenectomy has been used for peripancreatic malignant diseases. On the other hand, organ-preserving procedures have been employed for the treatment of benign peripancreatic diseases. Traverso and Longmire [2], in 1978, performed the pylorus-preserving pancreatoduodenectomy for the first time, reporting gratifying results with low incidence of postoperative peptic ulceration. Various other methods for resection of the head of the pancreas were developed in succession. Beger et al. [3] described a subtotal resection of the head of the pancreas for chronic pancreatitis.