Pancreatoduodenectomy: Other Approach

  • Wei ChenEmail author


Pancreaticoduodenectomy (PD), first reported by Codivilla and Kausch [1], is a complex and delicate surgical operation for treating the periampullary and pancreatic head tumors. This technique was finally polished and popularized by Whipple et al. [2]. To date, several versions of the Whipple’s technique have been modified; however, PD is usually detected, dissociated, and removed by standard approach in most cases. It can be performed within these situations: no distant organ metastasis of tumor, no tumor invasion and fixation in transverse mesocolon root, no tumor invasion of important peripancreatic vessels, and no large number of abnormal collateral vessels in the hilum of the liver can be removed by abdominal exploration.


  1. 1.
    Stritzko O. Ergebnisse der chirurgischen Behandlung des Pankreascarcinoms. Langenbecks Archiv Für Klinische Chirurgie. 1964;305(2):108–25.Google Scholar
  2. 2.
    Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of Vater. Ann Surg. 1935;102:763–79.CrossRefGoogle Scholar
  3. 3.
    Lai ECH, Yang GPC, Tang CN. Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy – a comparative study. Int J Surg. 2012;10(9):475–9.CrossRefGoogle Scholar
  4. 4.
    Pessaux P, Rosso E, Panaro F, et al. Preliminary experience with the hanging maneuver for pancreaticoduodenectomy. Eur J Surg Oncol. 2009;35(9):0–1010.CrossRefGoogle Scholar
  5. 5.
    Hirota M, Shimada S, Yamamoto K, et al. Pancreatectomy using the no-touch isolation technique followed by extensive intraoperative peritoneal lavage to prevent cancer cell dissemination: a pilot study. J Pancreas. 2005;6(2):143–51.Google Scholar
  6. 6.
    Kitagawa H, Tajima H, Takamura H, et al. Nerve plexus invasion in pancreatic cancer: spread patterns on histopathologic and embryological analyses. Pancreas. 2008;37(4):358.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.The First Affiliated Hospital, Sun Yat-sen UniversityGuangzhouChina

Personalised recommendations