Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy

Figure 5

Isolated form of the duodenal dystrophy. Male, 57 y.o. Intraoperative photo. Side view. Kocher’s maneuver is completed. Duodenum (D) was transected at the level of ligament of Trietz and 3 cm below the pylorus. The first, third, and fourth portions of the duodenum are detached from the pancreas by division of the short vessels by ultrasound scissors up to the level of the major papilla. S—stomach.