Hind Right Approach Pancreaticoduodenectomy : From Skill to Indications
Joint Authors
Lupascu, Cristian
Grigorean, Valentin Titus
Ursulescu, Corina
Georgescu, Stefan
Source
Gastroenterology Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-10
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Pancreaticoduodenectomy is the potentially curative treatment for malignant and several benign conditions of the pancreatic head and periampullary region.
While performing pancreaticoduodenectomy, early neck division may be impossible or inadequate in case of hepatic artery anatomic variants, suspected involvement of the superior mesenteric vessels, intraductal papillary mucinous neoplasm, and pancreatic head bleeding pseudoaneurysm.
Our work aims to highlight a particular hind right approach pancreaticoduodenectomy in selected indications and assess the preliminary results.
Methods.
We describe our early hind right approach to the retropancreatic vasculature during pancreaticoduodenectomy by mesopancreas dissection before any pancreatic or digestive transection.
Results.
We used this approach in 52 patients.
Thirty-two had hepatic artery anatomic variant and 2 had bleeding pancreatic head pseudoaneurysm.
The hepatic artery variant was preserved in all cases out of 2 in which arterial reconstruction was performed.
In nine patients with intraductal papillary mucinous neoplasms the pancreaticoduodenectomy was extended to the body in 6 and totalized in 3 patients.
Seven patients with adenocarcinoma involving the portomesenteric axis required venous resection and reconstruction.
Conclusions.
Early hind right approach is advocated in selected cases of pancreaticoduodenectomy to improve locoregional vascular control and determine, safely and early, whether there is mesopancreas involvement.
American Psychological Association (APA)
Georgescu, Stefan& Ursulescu, Corina& Grigorean, Valentin Titus& Lupascu, Cristian. 2014. Hind Right Approach Pancreaticoduodenectomy : From Skill to Indications. Gastroenterology Research and Practice،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-454879
Modern Language Association (MLA)
Georgescu, Stefan…[et al.]. Hind Right Approach Pancreaticoduodenectomy : From Skill to Indications. Gastroenterology Research and Practice No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-454879
American Medical Association (AMA)
Georgescu, Stefan& Ursulescu, Corina& Grigorean, Valentin Titus& Lupascu, Cristian. Hind Right Approach Pancreaticoduodenectomy : From Skill to Indications. Gastroenterology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-454879
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-454879