Summary
Local excision of preiampullary tumours first described in 1898 has been relegated in the background after introduction of pancreaticoduodenectomy in 1935. Recent reports suggest that ampullary excision may give good results. In order to define the place of this operation which may be a simple excision of the duodenal mucosa (ampullectomy) or a wide excision of the papilla encompassing the posterior duodenal wall and the distal bile and pancreatic ducts (papilloduodenectomy) it is important to make a clear distinction between these two techniques. We describe the technique of papilloduodenectomy and define the place of this operation, which may be useful in selected cases.
Zusammenfassung
Die Lokalexzision von periampulldren Tumoren, erstmals 1898 beschrieben, ist nach Einführung der Pankreatikoduodenektomie 1935 in den Hintergrund gedrdngt worden. Neuere Berichte lassen vermuten, daß die ampullary Exzision gute Resultate erreicht. Um den Platz dieser Operation zu bestimmen, welche eine einfache Mukosaexzision (Ampullektomie) oder eine weite Exzision der Papille zusammen mit der Duodenalhinterwand und den distalen Anteilen von Gallen- und Pankreasgang sein kann (Papilloduodenektomie), ist es wichtig, these Technik genau zu definieren. Wir beschreiben deshalb die Papilloduodenektomie und bestimmen den Platz dieser Operation, die in ausgewählten Fällen nützlich sein kann.
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Gertsch, P., Baer, H.U., Lerut, J. et al. Technik der papilloduodenektomie. Langenbecks Arch Chir 375, 246–250 (1990). https://doi.org/10.1007/BF00187447
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DOI: https://doi.org/10.1007/BF00187447