When to perform a pancreatoduodenectomy in the absence of positive histology? A consensus statement by the International Study Group of Pancreatic Surgery

Asbun, Horacio J.; Conlon, Kevin C.; Fernández‐Cruz, Laureano; Friess, Helmut; Shrikhande, Shailesh V.; Adham, Mustapha; Bassi, Claudio; Bockhorn, Maximilian; Büchler, Markus W.; Charnley, Richard; Dervenis, Christos; Fingerhutt, Abe; Gouma, Dirk J.; Hartwig, Werner; Imrie, C. W.; Izbicki, Jakob R.; Lillemoe, Keith D.; Milicevic, Mladen; Montorsi, Marco; Neoptolemos, John P.; Sandberg, A. A.; Sarr, Michael G.; Vollmer, Charles M.; Yeo, Charles J.; Traverso, L. William

doi:10.1016/j.surg.2013.12.032

Cited by 135 publications

(105 citation statements)

References 31 publications

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“…In the highly suspicious clinical setting, if malignant findings are suggested based on cholangioscopy visualization, surgical resection may be recommended. 25 If the examination is equivocal for malignancy and tissue sampling is nondiagnostic, a close interval for repeat tissue sampling is planned. For pancreatoscopy, we recommend prophylactic stenting.…”

Section: Reporting Follow-up and Clinical Implicationsmentioning

confidence: 99%

Innovations in Intraductal Endoscopy

Shah

2015

Gastrointestinal Endoscopy Clinics of North America

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Section: Reporting Follow-up and Clinical Implicationsmentioning

confidence: 99%

Innovations in Intraductal Endoscopy

Shah

2015

Gastrointestinal Endoscopy Clinics of North America

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“…The decision to biopsy retroperitoneal masses preoperatively remains controversial. Most surgeons agree that surgical resection in the appropriate clinical setting without biopsy is acceptable [7]. In all but two of the reported pancreatic and peri pancreatic CD cases (Table 1) the diagnosis was established after histopathological examination of surgically resected specimens [10,12].…”

Section: Case Reportsmentioning

confidence: 99%

Castleman’s Disease Presenting as Peri - Pancreatic Neoplasm

Shetty

Patkar

Shet

et al. 2014

Indian J Surg Oncol

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“…Pancreaticoduodenectomy (PD) is the surgical treatment of choice for malignant or benign disease of the pancreatic head and periampullary region [1]. With improvements in operative techniques and perioperative management, mortality has decreased to < 5% in high-volume centers [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Different Techniques of Pancreatic Stump Management in Robot-Assisted Pancreaticoduodenectomy

Gonzalez-Heredia

Durgam

Masrur

et al. 2018

Gastrointest Tumors

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Background: Various technical improvements have decreased the morbidity and mortality after pancreaticoduodenectomy. However, postoperative pancreatic fistula (POPF) is the most feared complication, and the ideal technique for pancreatic reconstruction is undetermined. The aim of this study was to identify the risk factors and incidence of POPF with different types of pancreatic stump management after robot-assisted pancreaticoduodenectomy (RAPD). Materials and Methods: This study is a retrospective review of consecutive patients who underwent RAPD at the University of Illinois Hospital and Health Sciences System between September 2007 and January 2016. The cohort was divided based on the type of pancreatic stump management: pancreatic duct occlusion with cyanoacrylate glue (CG), pancreaticojejunostomy (PJ), posterior pancreaticogastrostomy (PPG), and transgastric pancreaticogastrostomy (TPG). Results: The cohort included 69 patients: pancreatic duct occlusion with CG (n = 18), PJ (n = 12), PPG (n = 11), and TPG (n = 28). Pancreatic duct diameter < 3 mm and duct occlusion with CG were identified as risk factors for POPF (p < 0.05). The incidence of POPF was lower when TPG and PJ were performed (p < 0.001). Conclusions: Reconstruction with PJ and TPG had better results compared to pancreatic duct occlusion with CG and PPG. However, TPG was the technique of choice and showed comparable results to PJ.

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When to perform a pancreatoduodenectomy in the absence of positive histology? A consensus statement by the International Study Group of Pancreatic Surgery

Cited by 135 publications

References 31 publications

Innovations in Intraductal Endoscopy

Innovations in Intraductal Endoscopy

Castleman’s Disease Presenting as Peri - Pancreatic Neoplasm

Comparison of Different Techniques of Pancreatic Stump Management in Robot-Assisted Pancreaticoduodenectomy

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