Background The role of portal vein resection for pancreatic cancer is well established but not neuroendocrine neoplasms. Evidence from studies providing information on long-term outcome after venous in neoplasms patients lacking. Methods This a multicenter retrospective cohort study comparing pancreaticoduodenectomy with standard primary endpoint was to evaluate the survival both groups. Progre...

110. Grobmyer SR, Rivadeneira DE, Goodman CA, et al. Pancreatic anastomotic failure after pancreaticoduodenectomy. Am J Surg. 2000;180:117–120. 111. Cullen JJ, Sarr MG, Ilstrup DM. Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, and management. Am J Surg. 1994;168:295–298. 112. Rumstadt B, Schwab M, Korth P, et al. Hemorrhage after pancreatoduodenectomy. Ann ...

BACKGROUND Gastric stump carcinoma is an exceptional and poorly known long-term complication after pancreaticoduodenectomy. CASES PRESENTATION Two patients developed gastric stump carcinoma 19 and 10 years after pancreaticoduodenectomy for malignant ampulloma and total pancreaticoduodenectomy for pancreatic adenocarcinoma, respectively. Both patients had pT4 signet-ring cell carcinoma involvi...

background the feasibility of safe full laparoscopic cephalic duodenopancreatectomy (cdp) has been demonstrated by several authors. objectives for its realization, we propose a 5 trocars approach. methods kocher maneuver is performed to reach the inferior vena cava, the infrarenal aorta, the rear plate of the uncinate process, and the superior mesenteric artery. lymphadenectomy in the region ca...

UNLABELLED Pancreaticoduodenectomy is the procedure of choice for tumors of the pancreatic head and periampullary region. During pancreaticoduodenectomy, early neck division may be inadequate in case of hepatic artery anatomic variants, suspected involvement of the superior mesenteric vessels or intraductal papillary mucinous neoplasms. MATERIAL AND METHODS We describe our early approach to t...

An ink marker at the descending part of the gastrojejunostomy or duodenojejunostomy after a pancreaticoduodenectomy or pylorus-preserving pancreaticoduodenectomy prevents a misplacing of a postoperative endoscopic intervention.

BACKGROUND Emergent pancreaticoduodenectomy is a life-saving procedure in certain clinical scenarios when all the conservative treatment fails. The indications can be limited into perforation and bleeding. To clarify the impact of etiology on surgical outcomes of emergent pancreaticoduodenectomy for non-trauma, we analyzed our patients and performed a literature review. METHODS We reviewed 93...

We enjoyed reading the report by Kurosaki et al. on their experience with the left posterior approach to the superior mesenteric artery in a pancreaticoduodenectomy for pancreatic head cancer [1]. Since the retroportal lamina (containing lymphatic structures, small vessels and nerves) should be completely resected during a pancreaticoduodenectomy for pancreatic head cancer, dissection along the...

background: pancreatic anastomosis leakage and fistula formation following  pancreaticoduodenectomy (whipple’s procedure) is a common complication. delay in timely diagnosis and proper management is associated with high morbidity and mortality. to report our experience with management of pancreatic fistula following whipple’s procedure. materials and methods: in this retrospective study, medica...

CONTEXT Pancreaticoduodenectomy entails ligation of vascular arcades arising from the celiac and superior mesenteric arteries. These are known to have anatomical variations. OBJECTIVE This study was aimed at analyzing the spectrum of arterial anomalies and their clinical impact on the procedure itself. PATIENTS The study includes 200 consecutive patients who underwent a pancreaticoduodenect...