Tricks and tips in pancreatoduodenectomy
Tricks and tips in pancreatoduodenectomy
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DOI：
10.4251/wjgo.v6.i9.344
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发表时间：
2014-09-15
影响因子：
3
通讯作者：
Manuel Ramia, Jose
中科院分区：
文献类型：
--
作者：
Pallisera, Anna;Morales, Rafael;Manuel Ramia, Jose
胰十二指肠切除术（PD）是胰头、近端胆管、十二指肠和壶腹部肿瘤的标准手术治疗方法，也是治愈恶性肿瘤的唯一希望。自从 Whipple 等人于 1935 年首次描述以来，这种复杂的手术技术已经发展并经历了多次修改。我们回顾了腹膜透析中的三个关键问题：（1）肠系膜上动脉的初始入路，称为动脉优先入路； (2)肝动脉解剖变异或腹腔动脉狭窄引起的动脉并发症； (3)淋巴结清扫的范围。 (C) 2014 百事登出版集团有限公司版权所有。
Pancreaticoduodenectomy (PD) is the standard surgical treatment for tumors of the pancreatic head, proximal bile duct, duodenum and ampulla, and represents the only hope of cure in cases of malignancy. Since its initial description in 1935 by Whipple et al, this complex surgical technique has evolved and undergone several modifications. We review three key issues in PD: (1) the initial approach to the superior mesenteric artery, known as the artery-first approach; (2) arterial complications caused by anatomic variants of the hepatic artery or celiac artery stenosis; and (3) the extent of lymphadenectomy. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.