Pancreaticoduodenectomy combined with extended retroperitoneal lymphadenectomy

Radical resection is one of the important factors for improving the prognosis of patients with resectable carcinoma of head of the pancreas, carcinoma of the distal bile duct and periampullary carcinoma. In order to proceed with a R0 resection, there are many types of pancreaticoduodenectomy (PD) for pancreatic, biliary and periampullary carcinoma such as PD with lymphadenectomy. In this report, we described a PD with extended retroperitoneal lymphadenectomy (D₂+) for the adenocarcinoma of the distal bile duct. The case presented underscores the feasibility and safety of PD with D₂+ lymph adenectomy.