Combined Venous and Arterial Reconstruction in the Triangle Area After Total Pancreatoduodenectomy

Fernandes, Eduardo de Souza Martins; Moraes-Junior, José Maria Assunção; Vasques, Rodrigo Rodrigues; Belotto, Marcos; Torres, Orlando Jorge Martins

doi:10.1590/0102-672020210002e1643

Cited by 5 publications

(8 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Four patients had adenocarcinoma of the pancreas head, one a primary lymphoma, INTRODUCTION R esearchers like Codevilla (1878), Kausch (1912), Whipple (1938 and1944), Cattell (1943), and Child (1944), to name a few, have proposed techniques for the reconstruction of different continuities after pancreatoduodenectomy (PD, with an intention to reduce complications such as the number of postoperative pancreatic fistula, delayed gastric evacuation, and hemorrhage with such modifications. These proposed techniques include a single jejunal loop (with or without Braun anastomosis), Roux-en-Y with one loop as alimentary anastomosis and one loop as biliary and pancreatic anastomosis, Roux-en-Y with one loop as pancreatic anastomosis and one loop as biliary and gastric, pancreaticogastric anastomosis, pylorus preserve PD, and the elevation of the jejunal loop in a transmesocolic way 2,7,8,15,23,24 .…”

Section: Resultsmentioning

confidence: 99%

Is the Anatomical Sequence of Gastric and Biliary Anastomosis in the Pancreatoduodenectomy Reconstruction the Cause of an Increase in the Incidence of Cholangitis? A Technical Variant Presentation and Initial Results

Nari¹,

López

LAYUN³

et al. 2022

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Is the Anatomical Sequence of Gastric and Biliary Anastomosis in the Pancreatoduodenectomy Reconstruction the Cause of an Increase in the Incidence of Cholangitis? A Technical Variant Presentation and Initial Results

Nari¹,

López

LAYUN³

et al. 2022

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

“…There is not an established disease-specific treatment for LPH; however, for patients with exocrine function insufficiency, pancreatic enzymes are administered, combined with a balanced diet, avoiding fatty foods. Some patients have undergone surgical resection due to mass effect and abdominal pain or suspicion of malignant disease 4 , 10 . In the present study, acute abdominal pain was the most relevant symptom and the decision for pancreatoduodenectomy was taken after other treatments failed.…”

Section: Discussionmentioning

confidence: 99%

“…After a complete preoperative evaluation, the patient underwent pancreatoduodenectomy without total mesopancreas excision. Pancreatojejunostomy was performed according to our classic technique 4 , 13 ( Figures 3 and 4 ). The postoperative course was uneventful, the length of stay in the ICU was two days, and the patient was discharged on the seventh postoperative day.…”

Section: Case Report and Surgical Techniquementioning

confidence: 99%

Pancreatoduodenectomy Due to Lipomatous Pseudohypertrophy of the Pancreas

Torres,

Vasques,

Barros Júnior

et al. 2023

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

BACKGROUND: Lipomatous pseudohypertrophy of the pancreas, pancreatic lipomatosis, pancreatic steatosis, non-alcoholic fatty pancreatic disease, or fatty pancreas is an extremely rare disease, characterized by the organ enlargement and a localized or diffuse replacement of pancreatic acinar cells by mature adipose tissue, preserving the pancreatic ductal system and islets of Langerhans. AIMS: To report a rare case of lipomatous pseudohypertrophy of the pancreas in a symptomatic patient and the surgical treatment employed. METHODS: A 24-year-old male patient with weight loss (10 kilograms in 8 months), hyperglycemia, severe and recurrent acute abdominal pain, epigastric discomfort associated with nausea, vomiting, and jaundice for 40 days. Magnetic resonance imaging was performed, revealing an irregular lipomatous pseudohypertrophy of the pancreas, measuring 6.0 × 5.6 cm in the head, uncinate process, and part of the body of the pancreas. The pancreatic duct dilation was diffuse and irregular, associated with atrophy of the remnant parenchyma, particularly in the tail of the pancreas. The patient underwent pancreatoduodenectomy without total mesopancreas excision followed by pancreatojejunostomy. RESULTS: The postoperative course was uneventful, the length of stay in the ICU was two days, and the patient was discharged on the seventh postoperative day. CONCLUSIONS: The disease treatment depends on the signs and symptoms at presentation and a pancreatoduodenectomy is indicated in patients with severe and recurrent abdominal pain.

show abstract

“…Mode of dissection follows what was later described for other pancreatic surgeries. Triangle dissection, combined with complex vascular resections are often performed as depicted in this case after neoadjuvant therapy (90). A particular issue in this operation is pronounced devascularization of the stomach and risk of gastric complications.…”

Section: Tpmentioning

confidence: 99%

A more radical perspective on surgical approach and outcomes in pancreatic cancer—a narrative review

Fernandes¹,

Mello²,

Braga³

et al. 2023

J Gastrointest Oncol

View full text Add to dashboard Cite

Background and Objective: Pancreatic adenocarcinoma remains a dismal disease and is expected to become an even greater burden in the near future. This review focuses on the different surgical aspects for pancreaticoduodenectomy (PD), distal and total pancreatectomy (TP), incorporating lessons from both the western and eastern visions in treating pancreatic cancer. Methods:We conducted an extensive literature review through PubMed, prioritizing papers published in the last 5 years, but older emblematic papers were also included. We included articles that explored the treatment of pancreatic adenocarcinoma, with focus on the surgical aspect and strategies to improve outcomes. References of selected articles were also reviewed to identify any missed studies. Only papers in English were included.

show abstract

Combined Venous and Arterial Reconstruction in the Triangle Area After Total Pancreatoduodenectomy

Cited by 5 publications

References 7 publications

Is the Anatomical Sequence of Gastric and Biliary Anastomosis in the Pancreatoduodenectomy Reconstruction the Cause of an Increase in the Incidence of Cholangitis? A Technical Variant Presentation and Initial Results

Is the Anatomical Sequence of Gastric and Biliary Anastomosis in the Pancreatoduodenectomy Reconstruction the Cause of an Increase in the Incidence of Cholangitis? A Technical Variant Presentation and Initial Results

Pancreatoduodenectomy Due to Lipomatous Pseudohypertrophy of the Pancreas

A more radical perspective on surgical approach and outcomes in pancreatic cancer—a narrative review

Contact Info

Product

Resources

About