Tricks and tips in pancreatoduodenectomy

Tricks and tips in pancreatoduodenectomy

Pancreaticoduodenectomy(PD) is the standard surgical treatment for tumors of the pancreatic head, proximal bile duct, duodenum and ampulla, and represents the only hope of cure in cases of malignancy. Since its initial description in 1935 by Whipple et al, this complex surgical technique has evolved...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastrointestinal oncology Vol. 6; no. 9; pp. 344 - 350
Main Authors: Pallisera, Anna, Morales, Rafael, Ramia, Jose Manuel
Format: Journal Article
Language:English
Published: China Baishideng Publishing Group Inc 15-09-2014
Subjects:
celiac
dissection
duodenum
intraoperative
malignancy
mesenteric
pancreas
proximal
stenosis
Topic Highlight
Whipple
Hepatic artery
Lymphadenectomy
Artery-first
Surgery
Celiac axis
Pancreaticoduodenectomy
Pancreas
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pancreaticoduodenectomy(PD) is the standard surgical treatment for tumors of the pancreatic head, proximal bile duct, duodenum and ampulla, and represents the only hope of cure in cases of malignancy. Since its initial description in 1935 by Whipple et al, this complex surgical technique has evolved and undergone several modifications. We review three key issues in PD:(1) the initial approach to the superior mesenteric artery, known as the artery-first approach;(2) arterial complications caused by anatomic variants of the hepatic artery or celiac artery stenosis; and(3) the extent of lymphadenectomy.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Author contributions: Pallisera A wrote the introduction and the section on the artery-first approach; Ramia JM wrote the section on arterial complications during pancreatoduodenectomy; Morales R wrote the section on extended lymphadenectomy for pancreatic head adenocarcinoma.
Correspondence to: Jose Manuel Ramia, MD, PhD, FACS, HPB Unit, Department of Surgery, Hospital Universitario de Guadalajara, C/General Moscardó 26, 5-1, Madrid 28020, Spain. jose_ramia@hotmail.com
Telephone: +34-616-292056 Fax: +34-616-292056
ISSN:1948-5204
1948-5204
DOI:10.4251/wjgo.v6.i9.344