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Pyloruserhaltende Pankreaskopfresektion

Neuer Standard bei Tumoren

Pylorus-preserving pancreatic head resection

A new standard for tumors

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Zusammenfassung

Die pyloruserhaltende Pankreaskopfresektion nach Traverso-Longmire gilt zur operativen Behandlung von Pankreaskopftumoren als Standardeingriff. Sie ist in Bezug auf Mortalität, Morbidität und onkologische Radikalität als gleichwertig zur klassischen Pankreaskopfresektion nach Kausch-Whipple zu bewerten und zeichnet sich zudem durch kürzere Operationszeit und geringeren Blutverlust aus. Für das Langzeitüberleben ist jedoch nicht die Frage nach Erhalt bzw. Resektion des Magens entscheidend, sondern vielmehr die frühzeitige Diagnosestellung mit nachfolgender R0-Tumorresektion. Patienten profitieren dabei grundlegend von der Behandlung in einem auf Pankreaserkrankungen spezialisierten Zentrum.

Abstract

Traverso-Longmire pylorus-preserving pancreatic head resection is regarded as the standard surgical procedure for pancreatic head tumors. The mortality, morbidity, and oncological radicality are as low as with the classic Kausch-Whipple resection, with the additional advantage of shorter operating time and reduced blood loss. Important for long-term survival is, however, not the resection of the stomach but the early diagnosis with subsequent R0 tumor resection. Patients can benefit fundamentally from this procedure if it is carried out at a specialized center.

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  1. Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Charité, Campus Virchow Klinikum, Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland

    M. Glanemann, M. Bahra & P. Neuhaus

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  1. M. Glanemann
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  2. M. Bahra
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  3. P. Neuhaus
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Correspondence to M. Glanemann.

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Glanemann, M., Bahra, M. & Neuhaus, P. Pyloruserhaltende Pankreaskopfresektion. Chirurg 79, 1107–1114 (2008). https://doi.org/10.1007/s00104-008-1571-1

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