Browsing by Author "Eduardo Briceño V."

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    Distal duodenal resection: Analysis of our experience with infrequent surgeryResección duodenal distal: Análisis de nuestra experiencia con una cirugía infrecuente
    (Academic Press, 2021) Ochoa S. G.S.; Fernando Crovari E.; Eduardo Briceño V.
    © 2021, Sociedad de Cirujanos de Chile. All rights reserved.Introduction: Distal duodenal resection is a complex and infrequent surgical technique used for the treatment of duodenal or extraduodenal pathologies that do not compromise the greater duodenal papilla, the most frequent indication being the neoplastic cause. Aim: To publicize our experience with this surgical technique. Materials and Method: Series of patients undergoing a distal duodenal resection between 2009-2020 at the UC Clinical Hospital. Results: Total 12 patients, median age 56 years. Preoperative diagnosis: primary duodenal tumors (4), tumors with duodenal involvement due to contiguity (5), and emergency pathologies (3). The approach was open in 9 patients and laparoscopic in 3 (1 converted). D3-D4 was resected in 10 patients, 1 included part of D2 and 2 only D4. The duodenojejunal anastomosis was manual in 10 cases, all with transmesocolic ascending of the jejunal loop. There were 33% (n: 4) morbidity, all Clavien Dindo II, and 8% mortality (n: 1). There was no leakage of the duodenojejunal anas-tomosis. During follow-up, none presented complications and 4 patients died of oncological progression. Conclusion: The main surgical indication was neoplastic pathology and in our series, there was no major morbidity or anastomotic leak.