In fact , the cancer of large duodenal papilla (Vateri papilla) and also cancer of the distal common bile duct are those tumors in HPB surgery when 5-year survival rate can be achieved by surgical treatment. radical surgery for this cases is pancreaticoduodenectomy (whipple procedure). Patients with early-stage disease can be the candidates for the functional operation - pancreatoduodenectomy with preservation of the pylorus. According to many authors dealing with this issue, this procedure improves the quality of life of these patients. The main stages of this operation is presented in this video.
This surgery was performed to 52 years old woman with pT2N0M0 adenocarcinoma of Vateri papilla (major duodenal papilla)