Hepatopancreatoduodenectomy-Lesson’s with 35 Patients over 10 Years

Hepatopancreatoduodenectomy (HPD) represents the most complex abdominal operation comprising generally large resections of hepatic parenchyma combined with gastroduodenum-pancreatectomy, in which its main indications include biliary tract neoplasia. Surgical resection is considered the only potential modality of cure in the treatment of malignant biliary tumors, including gallbladder cancer and cholangiocarcinomas. High morbidity and mortality rates still affect a large part of the patients submitted to this operation due to extensive resections of hepatic parenchyma associated with critical anastomoses of bile ducts and pancreatic gland [1-3].