Transduodenal ampullectomy for ampullary tumors

@article{Mansukhani2017TransduodenalAF,
  title={Transduodenal ampullectomy for ampullary tumors},
  author={Verushka M Mansukhani and Gunjan Shailesh Desai and S. P. Mouli and Keval Shirodkar and Rajiv C. Shah and Jagannath Palepu},
  journal={Indian Journal of Gastroenterology},
  year={2017},
  volume={36},
  pages={62-65}
}
Transduodenal ampullectomy (TDA) is indicated for large ampullary tumors, for presence of dysplasia on endoscopic biopsy, for poor surgical candidates for pancreaticoduodenectomy, and in cases not indicated for endoscopic ampullectomy. Retrospective review of data from 2009 to 2015 revealed 11 patients who underwent TDA. Magnetic resonance imaging cholangiopancreatography (MRI-MRCP), contrast-enhanced computed tomography (CECT) scan, side-viewing endoscopy, and endoscopic ultrasound (EUS) were… 
7 Citations
Transduodenal ampullectomy for ampullary tumors – single center experience of consecutive 26 patients
TLDR
Transduodenal ampullectomy is a feasible and effective surgical procedure for the treatment of selected patients with ampullary tumors and is an alternative treatment option in cases of ampullARY tumors not amenable to endoscopic papillectomy or pancreaticoduodenectomy.
Surgical ampullectomy: A comprehensive review
TLDR
It appears that suitably selected cases of ampullary tumours subjected to SA may benefit from favourable peri-operative and long-term outcomes with very low mortality and significantly long survival, hence its role in this setting warrants further clarification, while it can also be useful in the management of specific benign entities.
Study Protocol of the ESAP Study: Endoscopic Papillectomy vs. Surgical Ampullectomy vs. Pancreaticoduodenectomy for Ampullary Neoplasm—A Pancreas2000/EPC Study
TLDR
The ESAP study will provide evidence for therapeutic algorithms and data for the implementation of guidelines in the treatment of different types of ampullary tumors, including recurrent, or incomplete resected lesions.
Systematic Review with Meta-Analysis: Endoscopic and Surgical Resection for Ampullary Lesions
TLDR
The data indicate an increased rate of complete resection in surgical interventions accompanied with a higher risk of complications, however, studies showed various sources of bias, limited quality of data and a significant heterogeneity, particularly in EA studies.
Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report
TLDR
According to the experience with a duodenal papillary tumor, compared with pancreaticoduodenectomy, the use of pancreas-preserving duodinectomy can preserve pancreatic function, maintain gastrointestinal structure and function, reduce tissue damage and complications, and render the postoperative recovery faster.

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