G path pylorus preserving pancreaticoduodenectomy

For a matured digestive surgeon, pancreaticoduodenectomy (PD) is regarded as one of the most complicated and technically challenging surgical procedure. Based on the accurate interpretation of patient′spreoperative imageologic data, we advocate a novel procedure which is called as G-path pyloruspreserving pancreatoduodenectomy (G-path PPPD). We deem Gpath PPPD as a standardized procedure for resectable pancreatic head cancer or periampullary carcinoma, which definitely simplify the procedure, save the operative time, achieve R0 resection through enbloc resection without interruptedly intraoperative exploration and reduce the risk of iatrogenic tumor metastasis. This article introduced the program of G-path PPPD in detail by taking a patient as an example who suffered from pancreatic head cancer accompanied with obstructive jaundice, and discussed the relevant points.