RADICAL PANCREATICODUODENECTOMY

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Radical pancreaticoduodenectomy in elderly patients: a feasible and adequate therapeutic option?

Introduction Pancreatic cancer remains one of the deadliest malignancies in the western emisphere despite improved surgical technique, chemotherapy and radiation therapy [1]. Due to the late diagnosis of pancreatic cancer, surgery is the gold standard method to increase the patients’ overall survival; pancreaticoduodenectomy (or Whipple procedure), with lymph nodes dissection, is the standardiz...

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Reoperation following Pancreaticoduodenectomy

Introduction. The literature on reoperation following pancreaticoduodenectomy is sparse and does not address all concerns. Aim. To analyze the incidence, causes, and outcome of patients undergoing reoperations following pancreaticoduodenectomy. Methods. Retrospective analysis of 520 consecutive patients undergoing pancreaticoduodenectomy from May 1989 to September 2010. Results. 96 patients (18...

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Alternative reconstruction after pancreaticoduodenectomy

BACKGROUND Pancreaticoduodenectomy is the procedure of choice for tumors of the head of the pancreas and periampulla. Despite advances in surgical technique and postoperative care, the procedure continues to carry a high morbidity rate. One of the most common morbidities is delayed gastric emptying with rates of 15%-40%. Following two prolonged cases of delayed gastric emptying, we altered our ...

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Omental flaps in pancreaticoduodenectomy.

CONTEXT Pancreaticoduodenectomy continues to have a high morbidity (40-50%). Major complications of pancreaticoduodenectomy include leaks from the pancreaticojejunostomy and an intra-abdominal bleed from the gastroduodenal artery stump. The omentum has been used for the prevention of anastomotic leaks. OBJECTIVES The use of omental flaps to prevent a pancreaticojejunostomy leak and bleeding c...

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Braun Enteroenterostomy Following Pancreaticoduodenectomy

Pancreaticoduodenectomy (PD) holds high postoperative morbidity. How to resolve this issue is challenged. An additional anastomosis (Braun enteroenterostomy) following PD may decrease the postoperative morbidity, but holds conflicting results. The objective of this study is to investigate the advantages and disadvantages of Braun enteroenterostomy in PD. Clinical studies compared perioperative ...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1951

ISSN: 0003-4932

DOI: 10.1097/00000658-195107000-00009