Pancreatoduodenectomy: Other Approach
Pancreaticoduodenectomy (PD), first reported by Codivilla and Kausch , 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. . 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.
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