Abstract Pancreaticoduodenectomy is the procedure of choice for intraductal papillary mucinous neoplasm 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 intraductal papillary mucinous neoplasm to the superior mesenteric vessels during pancreaticoduodenectomy, by intraductal papillary mucinous neoplasm lamina dissection before pancreatic transection.
Results: We used this approach in 41 patients. There were 28 patients with abnormal hepatic artery, which was spared in 26 cases. Hepatic artery reconstruction was required in 2 cases.
Nine patients with intraductal papillary mucinous neoplasms underwent 6 pancreaticoduodenectomiesextented to the body and 3 total pancreaticoduodenectomies. Four patients with adenocarcinoma involving the portomesenteric vein required pancreaticoduodenectomy with venous resection and reconstruction.
Conclusions: Early retropancreatic lamina dissection is useful way to tailor a pancreaticoduodenectomy which is recommended in selective indications. Author Biographies C.
Resection of the retroportal pancreatic lamina during a cephalic pancreaticoduodenectomy: first dissection of the superior mesenteric artery. Ann Chir.
- categoria „mamă” | Romanian to English | Medical (general)
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Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary carcinoma. Ann Surg ; The posterior approach in pancreaticoduodenectomy: Preliminary results.
Hepatogastroenterol ; Aberrant hepatic artery in patients undergoing intraductal papillary mucinous neoplasm. Pancreatol ; 8: Clinical implications of an aberrant right hepatic artery in patients undergoing pancreaticoduodenectomy. World J Surg ; Utility of mobilization of the right colon and the root of the mes-entery for avoiding vein grafting during reconstruction of the portal vein.
Multifocal intraductal mucinous neoplasms (IPMN)
J Am CollSurg ; Popescu I, Dumitrascu T. Total meso-pancreas excision: key point in pancreatic head adenocarcinoma. Hepatogastroenterol ; 58 : Intraductal and papillary mucinous tumors of the pancreas: Pan-creatic resections guided by preoperative morphological assessment and intraoperative extemporaneous examination.
Sep, Vol. A common genetic background has been hypothesised to be responsible for such an association. Human chromosomal region 8q24 has been associated with many types of cancer. The majority of these associations lie at approximately Mb on chromosome 8. We conducted a study in order to examine the association between IPMN and single nucleotide polymorphisms SNPs from the 8q24 region, namely rs, rs, rs, rs, previously reported to influence general cancer susceptibility.