Role and Technique of Pylorus Preserving Pacreatectomy*
Henry A. Pitt, MD
Pancreatoduodenectomy was popularized by Whipple and his colleagues in the 1930s.
Numerous modifications of the original two-stage operation were introduced in the
1940s and 1950s and, by the 1960s, the ëstandard Whipple procedureí was a one-stage
operation that included a partial pancreatic resection and an antrectomy. During
the 1970s, a trend evolved towards more radical operations including total pancreatectomy,
portal vein resection and extensive retroperitoneal lymph node dissection.
However, concerns about increased postoperative morbidity and mortality as well as
a poorer quality of life with these more radical operations led Traverso and Longmire
to introduce the pylorus-preserving pancreaduodenectomy in 1978. The pylorus-preserving
pancreaticoduodenectomy can usually be performed with equal or greater safety than
the other alternatives. The quality of survival can be better with pylorus-preserving
pancreaticoduodenectomy than with either the classic Whipple procedure or with regional
pancreatectomy. |
Abstracts
"Dome
Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD
Endoscopic
Drainage of Pancreatic Pseudocyst
Gary C. Vitale, MD
Thoracoscopic
Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD
CT
Guided Percutaneous Drainage of Infected Acute Necrotizing Pancreatitis
Patrick C. Freeny, MD
Management
of Metastatic Carcinoma
T. S. Ravikumar, MD
Management
of Liver Trauma
Juan C. Asensio, MD
Management
of Benign Liver Tumors
Leslie H. Blumgart, MD, FRCS
Role
and Techniques of "Dome-Down" Laparoscopic Cholecystectomy
Glenn L. Sandler, MD
Thoracoscopic
Splanchnicectomy for Pancreatic Pain
Henry L. Laws, MD
Current
ConceptsæAdequate Pain Management
Young K. Choi, MD
Prevention
and Management of Infection Complicating Acute Pancreatitis
Henry L. Laws, MD
Indication
for and Timing of ERCP in Biliary Pancreatitis
John Baillie, MB, ChB, FRCP
Timing
of Laparoscopic Cholecystectomy After Biliary Pancreatitis
Gary C. Vitale
Magnetic
Resonance Angiography
Martin R. Prince, MD, PhD
Pancreatic
Imaging
Patrick C. Freeny, MD
Endoscopic
Ultrasonography
Charles Noyer, MD
Limited
Gastric Resection
Jo Buyske, MD
Current
ConceptsæManagement of Pancreatic Carcinoma
Henry A. Pitt, MD
Watchful
Waiting in the Management of Inguinal Hernia
Robert J. Fitzgibbons, MD
Treatment
of Incisional (Ventral) Hernias: Open Repair
Maximo Deysine, MD, FACP
Treatment
of Incisional (Ventral) Hernias: Laparoscopic Repair
Adrian E. Park, MD
Indications
for Converting to Open Operation
John G. Hunter, MD
Medicolegal
Implications of Common Bile Duct Injury During Laparoscopic Cholecystectomy
Kenneth A. Kern, MD, FACS
Role and
Technique of Pylorus Preserving Pacreatectomy
Henry A. Pitt, MD |
|
