Inferior branch–preserving superior head resection of the pancreas with gastric wall–covering method for intraductal papillary mucinous adenoma

Intraductal papillary mucinous neoplasm (IPMN) of the pancreas showed significantly less aggressive pathologic features compared with common pancreatic cancer. Therefore, several organ-preserving techniques, including duodenum-preserving pancreatic head resection, have been advocated in surgical procedures for IPMN. We describe a surgical technique of superior head resection of the pancreas with inferior branch preservation followed by a gastric wall–covering method for the prevention of pancreatic leakage in patients with IPMN of the pancreas head.