Total Pancreatectomy: Indication and Early and Late Postoperative Problems
There is no carcinoma left at the level of resection, as is the case in some patients operated on with Whipple’s procedure only.
There are a number of cases with proven multicentric carcinoma who have a chance for cure only with total pancreatectomy.
Diffuse carcinomatosis of the pancreatic gland appears to occur in some 6% of cases.
It is Known that free Malignant cells can float in the pancreatic duct and are sometimes asporated during the preoperative examination, so that radical carcinoma surgery would here also logically mean that only total pancreatectomy can cure the patient.
KeywordsAcute Pancreatitis Chronic Pancreatitis Pancreatic Duct Obstructive Jaundice Total Pancreatectomy
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