The pancreatic function diagnostant (PFD test) and fecal chymotrypsin test were performed simultaneously in patients after pancreatic surgery, and findings for both tests were analyzed. The paminobenzoic acid recovery rate in the PFD test and the chymotrypsin activity in stools decreased after pancreatectomy, particularly after extended radical pancreaticoduodenectomy. Chymotrypsin activity in ...

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...

To present a retrospective post-pancreaticoduodenectomy case series that had sentinel bleeding after pancreaticoduodenectomy and to evaluate the necessity and safety of prophylactic embolization. Fifteen post-pancreaticoduodenectomy patients with sentinel bleeding after pancreaticoduodenectomy were included in this study. Digital subtraction angiography was performed 6 hours after sentinel blee...

BACKGROUND Considerable controversy surrounds the treatment of ampullary neoplasms. This report describes the authors' experiences regarding the choice of either ampullectomy or pancreaticoduodenectomy for treatment of ampullary tumors. METHODS Demographics, statistical findings concerning diagnosis, surgical risks including morbidity and mortality, and outcomes were evaluated and compared be...

INTRODUCTION Malignant afferent loop obstruction following pancreaticoduodenectomy is a rare complication and may be fatal if suppurative cholangitis or obstructive jaundice develops. Effective and safe therapeutic strategies for malignant afferent loop obstruction following pancreaticoduodenectomy are scarce at present. CASE PRESENTATION A 51-year-old Japanese man underwent pancreaticoduoden...

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...

OBJECTIVE Leakage of the pancreaticojejunal anastomosis is a serious complication after pancreaticoduodenectomy. External drainage of the pancreatic remnant is one of several methods for reducing pancreaticojejunal anastomotic leakage or fistula. We investigated complications after pancreaticoduodenectomy with and without external drainage of the pancreatic remnant. METHODS Patients who under...

Patients with celiac artery stenosis often remain asymptomatic due to formation of extensive collateral pathways. Hepatic or anastomotic ischemia may occur when the gastroduodenal artery and these collaterals are ligated during pancreaticoduodenectomy. Here, we present a patient with severe atherosclerotic disease of the celiac axis who successfully underwent pancreaticoduodenectomy with aorto-...

Andersen, H.B., Baden, H., Brahe, N.E.B. and Burcharth, F. (1994) Pancreaticoduodenectomy for periampullary adenocarcinoma Journal of the American College of Surgeons 179." 545-552. Background: This study evaluates the indications for and effects of pancreaticoduodenectomy (102 patients) or total pancreatectomy (15 patients) with extensive lymph node dissection performed upon 117 patients for t...

Laparoscopic pancreatic resection (distal pancreatectomy, pancreaticoduodenectomy, including pancreaticoduodenectomy with vascular resections) for pancreatic ductal adenocarcinoma is a technically demanding procedure, and the available evidence from selected high-volume centers suggest it to be well within the oncological principles of surgery for cancer, though this remains to be proven in a r...