No-touch isolation technique in emergency pancreaticoduodenectomy for neoplastic hemorrhage: Two case reports and review of literature

Table 1 Details of patients who underwent emergency pancreaticoduodenectomy using a no-touch isolation technique

Patients	1	2
Age/sex	67/female	88/female
Pathology	Duodenal-GIST	IPMN
Hb (g/dL) transfusion, U	3.7, 8	5.4, 10
Tumor size (cm)	5	17
Procedure	PPPD	PPPD
Operative time (m)	220	239
Blood loss (g)	70	270
Complication	No	No
Length of stay (d)	14	10

GIST: Gastrointestinal stromal tumor; PPPD: Pylorus-preserving pancreaticoduodenectomy; IPMN: Intraductal papillary mucinous neoplasm; Hb: Hemoglobin.

Table 2 Reported patients that underwent emergency pancreaticoduodenectomy for neoplastic hemorrhage

Characteristic
Sex, n (female/male)		15/17
Age, yr (mean)		20-93 (61.2)
Pre-operative TAE, n (%)		2 (6.25)
Operative time, min (mean)		210-553 (361.6)
Blood loss, g (mean)		20-1600 (747.3)
Morbidity, n (%)		12 (37.5)
Mortality, n (%)		3 (9.38)
Hospital stay, d (mean)		7-63 (25.5)
Underlying diagnosis, n (%)	Pancreatic carcinoma	7 (21.8)
	GIST	5 (15.6)
	IPMN	4 (12.5)
	Duodenal carcinoma	3 (9.4)
	Ampullary carcinoma	2 (6.3)
	Liposarcoma	2 (6.3)
	Lymphoma	2 (6.3)
	Others	7 (21.8)

GIST: Gastrointestinal tumor; IPMN: Intraductal papillary mucinous neoplasm; TAE: Transcatheter arterial embolization.