... pancreaticoduodenectomy, the pancreatic stump was released 1–2 cm from splenic vessels, and the first jejunal loop was brought under the mesenteric root to the patient’s right side. An end-to-side Cattel-Warren pancreatojejunostomy was performed in a two-layer fashion with interrupted non-absorbable sutures ( Fig. 2...

... of postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD); however, small stents may cause adverse effects, such as occlusion. Recently, we have tried placing a 7.5-Fr pancreatic duct stent to achieve more effective exocrine output from the pancreas; however, the association between pancreatic...

...Ioannis Mintziras; Elisabeth Maurer; Veit Kanngiesser; Michael Lohoff; Detlef K. Bartsch Introduction: The impact of bacterobilia on postoperative surgical and infectious complications after partial pancreaticoduodenectomy (PD) is still a matter of debate. Methods: All patients undergoing PD...

... outcomes. Results: The 52 surgeries performed included 14 pancreaticoduodenectomies (26.9%), 37 limited resections (71.2%), and one palliative bypass procedure (1.9%). No surgery-related death occurred. The complication rate in patients who underwent pancreaticoduodenectomy was slightly higher than...

...Kyoji Ito; Yoshikuni Kawaguchi; Yoshihiro Sakamoto; Junichi Arita; Kiyoshi Hasegawa; Norihiro Kokudo Background: Pancreaticoduodenectomy (PD) is performed for pancreatic ductal adenocarcinoma (PDA) located at the pancreas head/body. Non-chylous massive discharge after PD is frequently encountered...

... of acoustic radiation force impulse (ARFI) on pancreatic tissue as a preoperative predictor of postoperative pancreatic fistula (POPF). Studied patients underwent exclusively to pancreaticoduodenectomy (PD) surgery. Methods: Shear wave velocity of pancreas was measured using ARFI in 71 patients scheduled...

... cancer. This study aimed to determine the preoperative clinicophysiological factors predictive of survival and recurrence in patients with distal cholangiocarcinoma. Methods: Forty-five patients (34 men) with distal cholangiocarcinoma who underwent pancreaticoduodenectomy between 2005 and 2013 were...

... pancreaticoduodenectomy in preventing postoperative pancreatic fistula (POPF). Methods: Randomized controlled trials and observational studies were retrieved from literature searches. Pooled OR with 95% CI for dichotomous variables and weighted mean difference with 95% CI for continuous variables were calculated. Fixed...

... the incidence and risk factors for delirium after pancreaticoduodenectomy (PD). Methods: This was a retrospective study of 146 consecutive patients who underwent PD between April 2007 and June 2015 at Saiseikai Yokohamashi Tobu Hospital. Results: Twenty-nine patients (19.9%) were diagnosed with delirium...

... patient is often neglected in clinical trials. Methods: Medical records of 370 patients who underwent pancreaticoduodenectomy were analyzed. Patients were then subdivided into 3 groups according to age and comorbidities. Results: Overall mortality was 5% and did not significantly differ between age...

... detection of these complications, with the help of laboratory assays, improve clinical outcome. The aim of the present study is to evaluate C-reactive protein (CRP) diagnostic accuracy as early predictor of SSIs after pancreaticoduodenectomy (PD). Methodology: We considered 251 consecutive PD. We...

...N. Napoli; E.F. Kauffmann; M. Palmeri; M. Miccoli; F. Costa; F. Vistoli; G. Amorese; Ugo Boggi Background/Purpose: Few data are available on the learning curve (LC) in robot-assisted pancreaticoduodenectomy (RAPD) and no study specifically addresses the LC of a single surgeon. Methods: The LC...

...Gaëtan-Romain Joliat; Ismaïl Labgaa; Nicolas Demartines; Markus Schäfer; Pierre Allemann Background: One of the most frequent complications of pancreaticoduodenectomy (PD) is delayed gastric emptying (DGE). The study aim was to evaluate the impact of the type of gastro/duodenojejunal reconstruction...

...Kaizhou Jin; Haiyang Zhou; Jian Zhang; Weijun Wang; Yanping Sun; Canping Ruan; Zhiqian Hu; Yi Wang Background: The use of somatostatin analogues (SAs) following pancreaticoduodenectomy (PD) is controversial. Method: Literature databases were searched systematically for relevant articles. A meta...

... for the extensive tissue and vascular dissection that is required in pancreaticoduodenectomy. In particular, Harmonic Focus performs very well in lymph node dissection, which is central in cancer surgery. In this report, we describe pancreaticoduodenectomy for pancreatic-head and periampullary cancer...

...Marielle M.E. Coolsen; Ronald M. van Dam; Arwind Chigharoe; Steven W.M. Olde Damink; Cornelis H.C. Dejong Background: Pancreaticoduodenectomies (PDs) are complex surgical procedures that require high-standard perioperative care. The objective of this study was to evaluate the effects...

... to have a pancreatic malignancy and 2 patients were diagnosed with benign disease (a choledochal cyst and focal pancreatitis). Ten of the 13 patients diagnosed with pancreatic cancer underwent exploratory surgery: 7 pylorus-preserving pancreaticoduodenectomies (PPPDs) were performed, 2 palliative surgery...

...Xianmin Bu; Jin Xu; Xianwei Dai Background: To report a novel technique for management of pancreaticojejunal anastomosis dehiscence after pancreaticoduodenectomy. Material and Methods: The anastomosis is disconnected and the blind jejunal limb is shortened and closed. A silicon tube...

...Melroy A. D’souza; Kailash Singh; Rohini V. Hawaldar; Parul J. Shukla; Shailesh V. Shrikhande Background: Few studies describing the use of stapling devices for uncinate process division during pancreaticoduodenectomy (PD) have data regarding outcomes. Our aim is to discuss our technique...

...Kei Ito; Naotaka Fujita; Yutaka Noda; Go Kobayashi; Jun Horaguchi Endoscopic papillectomy has been reported to be the treatment of choice in patients with ampullary adenoma. For ampullary cancer, pancreaticoduodenectomy is the standard treatment. Since neither lymphatic permeation, vascular...