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Antonio Giuliani, Graziano Ceccarelli, Aldo Rocca
INTRODUCTION: Minimally invasive surgery has gained wide acceptance in many institutions. Complex surgery such as pancreatic resections delayed its diffusion due to high rate postoperative complications and technical aspects, while for pancreaticoduodenctomy the role of a minimally invasive approach is still on debate. Laparoscopic distal pancreatectomy may be considered a safe procedure and a valid alternative in selected cases. The operating time, learning curve and the costs represent major drawbacks for the laparoscopic approach...
April 2018: Minerva Chirurgica
Si Eun Hwang, Mi Jin Jung, Baik Hwan Cho, Hee Chul Yu
BACKGROUNDS/AIMS: Pancreaticoduodenctomy (PD) is associated with high rates of postoperative morbidity and mortality. Although many studies have shown that early postoperative enteral nutrition improves postoperative outcomes, limited clinical information is available on postoperative early oral feeding (EOF) after PD. The aim of this study was to evaluate the clinical feasibility, safety, and nutritional effects of EOF after PD. METHODS: Clinical outcomes were investigated in 131 patients who underwent PD between 2003 and 2013, including 81 whose oral feeding was commenced within 48 hours (EOF group) and 50 whose oral feeding was commenced after resumption of bowel movements (traditional oral feeding [TOF] group)...
August 2014: Korean Journal of Hepato-biliary-pancreatic Surgery
Jian Yang, Chi-Hua Fang, Ying-Fang Fan, Nan Xiang, Jun Liu, Wen Zhu, Su-Su Bao, Huai-Zhi Wang
BACKGROUND: Our main aim was to evaluate the value of medical image three-dimensional visualization system (MI-3DVS) in pancreaticoduodenctomy patients with hepatic artery variance. METHODS: 114 patients who had undergone pancreatoduodenectomy were retrospectively summarized and analyzed. Clinical data of 64-slice multidetector CT angiography (64-MDCTA) scanning was introduced into MI-3DVS for procedural segmentation, registration and 3-dimensional (3D) reconstruction...
December 2014: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
Jian Yang, Chihua Fang, Yingfang Fan, Nan Xiang, Huaizhi Wang, Susu Bao, Wen Zhu, Jun Liu
OBJECTIVE: To explore the application value of the MI-3DVS in patients with hepatic artery variation receiving duodenopancreatectomy. METHODS: A total of 114 patients who had undergone pancreatoduodenectomy were retrospectively summarized and analyzed during January 2010 to July 2012. The clinical data of 64-slice multidetector CT angiography (64-MDCTA) scanning was introduced into MI-3DVS for procedural segmentation, registration and 3-dimensional reconstruction...
January 2014: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Vishes V Mehta, Sarah B Fisher, Shishir K Maithel, Juan M Sarmiento, Charles A Staley, David A Kooby
BACKGROUND: Routine use of operative (primary) drains after pancreaticoduodenctomy (PD) remains controversial. We reviewed our experience with PD for postoperative (secondary) drainage and postoperative pancreatic fistula (POPF) rates based on use of primary drains. STUDY DESIGN: We identified consecutive patients who underwent PD between 2005 and 2012 from our pancreatectomy database. Primary closed suction drains were placed at the surgeon's discretion. Patient and operative factors were assessed, along with POPF, complications, and secondary drain placement rates...
April 2013: Journal of the American College of Surgeons
Shao-Liang Han, Xiao-Feng Zheng, Xian Shen, Zhi Liu, Jun-Lin Li, Sheng-Hong Lan, Guan-Bao Zhu
PURPOSE: To analyze the procedure-related complications after pancreaticoduodenctomy (PD) and their risk factors. METHODS: One hundred twenty-six patients underwent pancreatoduodenectomy for diseases at region of pancreatic head were reviewed retrospectively. RESULTS: The overall surgical morbidity was 40.5% (51/126). Ten (7.9%) of 51 patients were identified as having pancreatic leakage, others included delayed gastric emptying (8.7%, 11), abdominal infection and abscess (7...
June 2010: Indian Journal of Surgery
Saxon Connor, Magdalena Sakowska
No abstract text is available yet for this article.
October 2012: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Rajesh Rajalingam, Amit Javed, Ranjana Gondal, Asit Arora, Hirdaya H Nag, Anil K Agarwal
Apart from their association in familial and hereditary cancer syndromes, sporadic double malignancies of the gastrointestinal tract involving the ampulla of Vater and colon are extremely rare. Although synchronous resection of the two by adding a colectomy to a pancreaticoduodenctomy can be accomplished with minimal increase in the surgical morbidity, a few patients, however, are best managed by a staged resection. We report a case of sporadic double malignancy of the ampulla of Vater and right colon who despite the best attempts continued to bleed and remained malnourished and was successfully managed by staged right hemicolectomy followed by a pancreaticoduodenectomy...
March 2012: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
Kevin Tri Nguyen, Amer H Zureikat, Sricharan Chalikonda, David L Bartlett, A James Moser, Herbert J Zeh
Minimally invasive pancreaticoduodenctomy (MIPD) is a technically challenging procedure. Current laparoscopic equipment with its limited range of motion, poor surgeon ergonomics, and lack of 3D view has limited the addition of MIPD. The robotic platform is able to overcome these limitations, allowing the recreation of time-honored open surgical principles of this procedure through a minimally invasive approach. We present here the technical aspects of the University of Pittsburgh robotic-assisted pancreaticoduodenctomy...
May 2011: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Mehrdad Nikfarjam, Niraj J Gusani, Eric T Kimchi, Rickhesvar P Mahraj, Kevin F Staveley-O'Carroll
CONTEXT: Nephrectomy and pancreaticoduodenctomy are operations often performed for the treatment of malignancy. However, the combination of both procedures is rarely reported. OBJECTIVES: The indications and outcomes of combined right nephrectomy and pancreaticoduodenectomy were assessed. STUDY DESIGN: Patients were identified from a prospective operative database between 2002 and 2008. SETTING: A tertiary care center...
2008: JOP: Journal of the Pancreas
Wiroon Boonnuch, Thawatchai Akaraviputh, Darin Lohsiriwat
OBJECTIVE: Pancreaticoduodenectomy (Whipple's operation) represents a considerable surgical challenge. The operative mortality rate after Whipple's operation is still less than 5%. Recent studies show pancreaticojejunostomy (PJ) anastomosis is the "Achilles heel" of the procedure. The authors present the results of Whipple's operation without mortality which were performed in the Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand...
April 2005: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
D Molino, P Perrotti, V Napoli, C Antropoli, S Perrotta, L Presta, E Gargano, R Bocchetti, D D'Antonio
Pancreaticoduodenectomy represents the only therapeutic option for cefalo-pancreatic and periampullary cancers. Surgical and anaesthesiological techniques development over the last twenty years has granted an operative mortality decrease. However, surgical morbidity is still high, with an incidence of 30-50%. A 20 year experience of a single Centre is examined retrospectively: 121 patients underwent pancreatic resection with radical intent. Type of operation or re-operation, operative mortality within 30 days, general and surgical morbidity, postoperative hospital stay were analysed...
November 2002: Il Giornale di Chirurgia
G V Aranha, S Yong, M Olson
BACKGROUND: Adenosquamous carcinoma of the pancreas most probably represents squamous metaplasia of an adenocarcinoma. Metastases are typically an admixture of both elements, but more frequently, adenocarcinoma. METHODS: A review of 102 pancreaticoduodenectomies for masses of the head of the pancreas done between 1994 and 1998 revealed two patients with adenosquamous carcinoma of the pancreas. RESULTS: Both patients underwent successful pancreaticoduodenctomy, but were found to have nodal metastasis...
October 1999: International Journal of Pancreatology: Official Journal of the International Association of Pancreatology
E M Gursel, K H Imamoglu, W O Nickel
Pancreatic carcinoma remains a difficult problem in surgery. High mortality and overall discouraging results of pancreaticoduodenectomy misled some physicians to believe that surgery is ineffective in management of pancreatic carcinoma. Patients with pancreatic carcinoma in two major hospitals from 1963 through 1976 were analyzed. Results of pancreaticoduodenctomies and palliative operations are reported.
September 1977: American Journal of Surgery
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