Abstract

The ideal surgery for pancreatic head cancer is isolated pancreatoduodenectomy (PD). “Isolated” means non-touch isolation techniques. Before manipulating pancreatic head cancer, all arteries supplying the pancreatic head region and all drainage veins for this region are ligated and divided, followed by pancreatectomy. The first step in isolated PD is a mesenteric approach. The inferior pancreaticoduodenal artery from the superior mesenteric artery is ligated and divided using the mesenteric approach. If the time to resect and reconstruct the portal venous system is expected to be prolonged, the congested portal venous blood is bypassed from a branch of the superior mesenteric vein to the femoral vein or umbilical vein using an antithrombogenic catheter. The concepts, intention, and precise surgical techniques of isolated PD are discussed in this paper.

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.