TY - JOUR. T1 - Laparoscopic Pancreaticoduodenectomy. Is It an Effective Procedure for Pancreatic Ductal Adenocarcinoma?. AU - Tee, May C.. AU - Kendrick, Michael L.. AU - Farnell, Michael B.. PY - 2015/9/1. Y1 - 2015/9/1. KW - Laparoscopic pancreaticoduodenectomy/Whipple procedure. KW - Oncologic outcomes. KW - Technical safety. UR - http://www.scopus.com/inward/record.url?scp=84983127113&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84983127113&partnerID=8YFLogxK. U2 - 10.1016/j.yasu.2015.03.003. DO - 10.1016/j.yasu.2015.03.003. M3 - Review article. C2 - 26299496. AN - SCOPUS:84983127113. VL - 49. SP - 143. EP - 156. JO - Advances in Surgery. JF - Advances in Surgery. SN - 0065-3411. IS - 1. ER - ...
Laparoscopic pancreaticoduodenectomy with venous reconstruction is not commonly performed due to its technical challenges. In this video, we focus on the t
Yiping Mou, MD, FACS1, Chao Lu, MS2, Weiwei Jin, MD2, Xiaowu Xu, MD1, Renchao Zhang, MD1, Jiafei Yan3, Yucheng Zhou1, Chaojie Huang1, Jiayu Zhou, MD2, Ronggao Chen2, Jingrui Wang2. 1Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial Peoples Hospital, 2School of medicine, Zhejiang University, 3Department of general surgery, SIR RUN RUN SHAW Hospital. Background:Interest in laparoscopic pancreaticoduodenectomy(LPD) keeps on growing, while reports of large series of this procedure is still limited to a few highly specialized centers. Moreover, few of them analyzed the learning curve of LPD. This study aims to assess the overall clinical outcomes and changes during different learning period of this procedure in our institution.. Methods:All data of 120 patients who underwent LPD between September 2012 and July 2015 in our institution were reviewed retrospectively, including demographic data, operative time, blood loss, morbidity, mortality, length of hospital stay(LOS). All ...
TY - JOUR. T1 - Post-Pancreaticoduodenectomy Outcomes and Epidural Analgesia. T2 - A 5-year Single-Institution Experience. AU - Simpson, Rachel E.. AU - Fennerty, Mitchell L.. AU - Colgate, Cameron L.. AU - Kilbane, E. Molly. AU - Ceppa, Eugene P.. AU - House, Michael. AU - Zyromski, Nicholas. AU - Nakeeb, Attila. AU - Schmidt, C.. PY - 2019/4/1. Y1 - 2019/4/1. N2 - Background: Optimal pain control post pancreaticoduodenectomy is a challenge. Epidural analgesia (EDA) is used increasingly, despite inherent risks and unclear effects on outcomes. Methods: All pancreaticoduodenectomies (PDs) performed from January 2013 through December 2017 were included. Clinical parameters were obtained from a retrospective review of a prospective clinical database, the American College of Surgeons NSQIP prospective institutional database, and medical record review. Chi-square, Fishers exact test, and independent-samples t-tests were used for univariable analyses. Multivariable regression was performed. Results: ...
Patients undergoing whipples pancreaticoduodenectomy tend to develop delayed gastric emptying. The study compares two types of anastamosis of sto
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TY - JOUR. T1 - Effect of complications on oncologic outcomes after pancreaticoduodenectomy for pancreatic cancer. AU - Le, Anh Thu. AU - Huang, Bin. AU - Hnoosh, Dima. AU - Saeed, Hayder. AU - Dineen, Sean P.. AU - Hosein, Peter J.. AU - Durbin, Eric B.. AU - Kudrimoti, Mahesh. AU - McGrath, Patrick C.. AU - Tzeng, Ching Wei D. PY - 2017/6/15. Y1 - 2017/6/15. N2 - Background Although adjuvant therapy (AT) is a necessary component of multimodality therapy for pancreatic ductal adenocarcinoma (PDAC), its application can be hindered by post-pancreaticoduodenectomy (PD) complications. The primary aim of this study was to evaluate the impact of post-PD complications on AT utilization and overall survival (OS). Methods Patients undergoing PD without neoadjuvant therapy for stages I-III PDAC at a single institution (2007-2015) were evaluated. Ninety-day postoperative major complications (PMCs) were defined as grade ≥3. Records were linked to the Kentucky Cancer Registry for AT/OS data. Early AT was ...
The Whipple Procedure, or pancreaticoduodenectomy, is the most commonly performed surgery to remove tumors in the pancreas. In a standard Whipple procedure, the surgeon removes the head of the pancreas, the gallbladder, part of the duodenum which is the uppermost portion of the small intestine, a small portion of the stomach called the pylorus, and the lymph nodes near the head of the pancreas. The surgeon then reconnects the remaining pancreas and digestive organs so that pancreatic digestive enzymes, bile, and stomach contents will flow into the small intestine during digestion. In another type of Whipple procedure known as pylorus preserving Whipple, the bottom portion of the stomach, or pylorus, is not removed. In both cases, the surgery usually lasts between 6-10 hours.. After a Whipple procedure, the most common complication is delayed gastric emptying, a condition in which the stomach takes too long to empty its contents. Usually, after 7-10 days the stomach begins to work properly. If ...
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The independent impact of surgeon volume on outcome of patients undergoing pancreaticoduodenectomy in a high-volume Institution was assessed. A signif
Background The long-term patency of the portal vein (PV) in patients who survive after pancreaticoduodenectomy (PD) remains unclear. The aim of the present study was to investigate the clinical...
OBJECTIVE: Combined vascular and pancreatic resection improves long-term survival of patients suffering from ductal adenocarcinoma of the pancreatic head. This study was designed to compare the results of surgical resection in patients with pancreatic cancer with or without vascular resection. Late 10-year disease-free survival was considered as an indicator of patients disease cure. METHODS: A total of 149 consecutive patients have undergone pancreatoduodenectomy without vascular resection (group 1: 82 patients), with isolated venous resection (group B: 67 patients), or with arterial and/or venous resection (group C: 8 patients). RESULTS: The duration of surgery and blood losses were significantly more important in groups B and C compared with group A; however, postoperative morbidity and mortality rates were similar. R1 resection was significantly more frequent in groups B (42%) and C (50%) compared with group A (13%; p = 0.0002), but there were more advanced tumors in these groups, as ...
Data were collected on 212 consecutive patients who underwent pancreatic resection between January 2000 and July 2009 in our department, divided into two groups: group 1, patients under 75 years of age, and group 2, patients 75 years of age or older. The two groups were compared in terms of demographic features, comorbidities, and surgical procedures. All of the patients underwent standardized preoperative assessment of general medical conditions, blood tests, tumor marker CA 19-9 determination, abdominal CT scan, and when needed, magnetic resonance imaging or positron emission tomography. Surgical techniques included pylorus-preserving pancreaticoduodenectomy for tumors of the head, of the pancreas and distal splenopancreatectomy for tumors located in the body or tail. Total pancreatectomy was reserved for microscopic invasion of the line of resection. The morbidity and mortality rate included all complications or deaths after surgery until discharge from hospital. Age, stage, lymph node ...
The Whipple procedure (pancreatoduodenectomy) is the most common operation performed for pancreatic cancer and may be used to treat other cancers such as small bowel cancer. Surgeons remove the head of the pancreas, most of the duodenum (a part of the small intestine), a portion of the bile duct and sometimes a portion of the stomach. After the pancreatoduodenectomy, the surgeon reconstructs the digestive tract. (www.mayoclinic.org ...
In the present study, we retrospectively analyzed the long-term survival of patients undergoing PD for carcinoma of the pancreatic head in a single, high-volume center. The aim of this study was to identify predictive factors for long-term survival. The characteristics of the patient cohort were similar to previous reports [12, 19]. The head resections included PPPD and Whipple procedures. The most common indication for operation was suspected malignancy, and most of the patients presented obstructive jaundice due to a tumor in the pancreatic head. All the patients exhibited histologically confirmed PDAC in the final examination of the specimen.. We observed a perioperative mortality of 4.1% in our study group, which was within the range of previous reports and indicates that the procedure is safe when performed in a hospital setting [12, 19, 20]. Surgical complications were observed in 42% of the patients undergoing PD. The high morbidity might have resulted from our comprehensive data ...
Delayed gastric emptying (DGE) remains the most frequent complication following pancreatoduodenectomy (PD) with published incidences as high as 61%. The present study investigates the impact of bowel reconstruction techniques on DGE following classic PD (Whipple-Kausch procedure) with pancreatogastrostomy (PG). We included 168 consecutive patients who underwent PD with PG with either Billroth II type (BII, n = 78) or Roux-en-Y type reconstruction (ReY, n = 90) between 2004 and 2015. Excluded were patients with conventional single loop reconstruction after pylorus preserving procedures. DGE was classified according to the 2007 International Study Group of Pancreatic Surgery definition. Patients were analyzed regarding severity of DGE, morbidity and mortality, length of hospital stay and demographic factors. No difference was observed between BII and ReY regarding frequency of DGE. Overall rate for clinically relevant DGE was 30% (ReY) and 26% (BII). BII and ReY did not differ in terms of demographics,
Inclusion Criteria:. Histologic proof of primary head of pancreas invasive adenocarcinoma managed with a potentially curative resection (i.e., removal of all gross tumor) involving a classic pancreaticoduodenectomy (Whipple) or a pylorus preserving pancreaticoduodenectomy; patients with invasive adenocarcinoma that also contains a component of intraductal papillary mucinous neoplasm (IPMN) are eligible. The operating surgeon must document in the operative note that a complete gross excision of the primary tumor was achieved; the pathology report must include documentation of the margin status and the size of the tumor; the pathology report must also include the status of the three major margins-bile duct, pancreatic parenchyma, and retroperitoneal (uncinate). For patients who have not started their chemotherapy prior to registration, the interval between definitive tumor-related surgery and 1st step registration must be between 21-70 days; for patients entering on the study who have already ...
Background Delayed gastric emptying (DGE) is a major postoperative problem after pylorus-preserving pancreatoduodenectomy (PpPD) and sometimes causes reflux esophagitis. demonstration A 63-year-old GW843682X guy underwent Kid and PpPD reconstruction with Braun anastomosis for lower bile duct carcinoma. Fourteen days after medical procedures DGE happened and a 10?cm lengthy stricture from middle esophagus to cardia developed one . 5 month after medical procedures regardless of the administration of antacids. Balloon dilation was performed but occurred. It was retrieved with traditional treatment. Actually the administration of the proton GW843682X pump inhibitor (PPI) for about five mouths didnt improve esophageal stricture. Simultaneous 24-h bilirubin and pH monitoring verified that affected person was resistant to PPI. We performed middle-lower esophagectomy with total gastrectomy to avoid gastric acidity from injuring reconstructed body organ and remnant esophagus through the right ...
A margin distance analysis of the impact of adjuvant chemoradiation on survival after pancreatoduodenectomy for pancreatic adenocarcinoma
Laparoscopic uncinate process first pancreatoduodenectomy-feasibility study of a modified artery first approach to pancreatic head cancer Academic Article ...
Errors and risks in osteosynthesis of forearm fractures in childhood Peripancreatic fat cialis vs viagra invasion was identified as being an independent predictor of poor outcome following pancreaticoduodenectomy for PDAC. Percutaneous repair viagra vs cialis of breast pseudoaneurysm: sonographically guided embolization. The Paramount Role of the Anterior Communicating Artery in the Collateral Cerebral Circulation.. Process reflection revealed the need for health games to be viagra prices created by experienced game developers in collaboration with health care experts. Lipopolysaccharides upregulate hepcidin in neuron via microglia and the IL-6/STAT3 signaling pathway.. It has been well established that glycosylation processing pathways are disturbed in cancer, leading to alterations in the glycan content of glycoproteins. Monoclonal gammopathy is increasingly recognized as a cause of kidney natural viagra injury. Elution of the columns at neutral to weakly basic buffer conditions prevented ...
Harvard Medical School. Participate in a masterclass with MGH Chief of Surgery, Dr. Keith Lillemoe, as he performs and narrates a complete Whipple procedure in the latest video-article published by JOMI. The Whipple procedure, or pancreaticoduodenectomy, is most notably known for its use in the treatment of cancer that is confined to the head of the pancreas. Because of the intricate blood supply between the pancreas, duodenum, gallbladder, and common bile duct, these structures must be resected along with the head of the pancreas. The remaining structures must then be carefully and precisely anastomosed in order to preserve digestive functioning.. This procedure is a complex and difficult operation that can have serious risks; however, it is responsible for saving countless lives.. ...
Background: Advances in surgical technique and increase in surgeons experience have made total laparoscopic pancreatoduodenectomy (TLPD) a subs..
AIMS AND BACKGROUND: Pancreatic resections for neoplastic diseases have a high risk of severe intra- and postoperative complications and are associated with high mortality rates. They should be performed as a rule in centers specializing in this type of surgery. However, it is becoming increasingly likely that such tumors may have to be treated in surgery units which are not specifically dedicated to pancreatic surgery. The aim of this study was to assess the improvements in clinical results in a non-specialized general surgery setting in the light of the most recent progress in surgical techniques, drug treatments and nutritional support. METHODS AND STUDY DESIGN: We analyzed 48 patients with pancreatic cancer treated in our institution over the period from 1980 to 1998: 36 had cancer of the head of the pancreas, 5 of the ampulla, 1 in the second duodenal portion, and 6 of the body-tail. The operations performed consisted of 13 Whipple pancreaticoduodenectomies with cutting and stapling of the ...
Learn more about Whipple Procedure at LewisGale Regional Health System DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
Elberm H, Ravikumar R, Sabin C, Abu Hilal M, Al-Hilli A, Aroori S, Bond-Smith G, Bramhall S, Coldham C, Hammond J, Hutchins R, Imber C, Preziosi G, Saleh A, Silva M, Simpson J, Spoletini G, Stell D, Terrace J, White S, Wigmore S, Fusai G. Outcome after pancreaticoduodenectomy for T3 adenocarcinoma: A multivariable analysis from the UK Vascular Resection for Pancreatic Cancer Study Group. European Journal of Surgical Oncology 2015, 41(11), 1500-1507 ...
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Bernon, M M et al. Severe post-pancreatoduodenectomy haemorrhage: An analytical review based on 118 consecutive pancreatoduodenectomy patients in a South African Academic Hospital. S. Afr. j. surg., Sept 2016, vol.54, no.3, p.23-28. ISSN 0038- ...
Review question Is pancreaticogastrostomy (PG, a surgery to join the pancreas to the stomach) better than pancreaticojejunostomy (PJ, a surgery to join the pancreas to the bowel) in terms of postoperative pancreatic fistula after a Whipple operation (a major surgical operation involving the pancreas, duodenum, and other organs)?. Background Pancreatoduodenectomy (Whipple operation) is a surgical procedure to treat diseases (most often cancer) of the pancreatic head, and sometimes, the duodenum. In a Whipple operation, the pancreas is detached from the gut then reconnected to enable pancreatic juice containing digestive enzymes to enter the digestive system. A common complication following Whipple surgery is pancreatic fistula, which occurs when the reconnection does not heal properly, leading to pancreatic juice leaking from the pancreas to abdominal tissues. This delays recovery from surgery and often requires further treatment to ensure complete healing. PJ and PG are surgical procedures ...
TY - JOUR. T1 - Technical Details of an Anterior Approach to the Superior Mesenteric Artery During Pancreaticoduodenectomy. AU - Inoue, Yosuke. AU - Saiura, Akio. AU - Tanaka, Masayuki. AU - Matsumura, Masaru. AU - Takeda, Yoshinori. AU - Mise, Yoshihiro. AU - Ishizawa, Takeaki. AU - Takahashi, Yu. PY - 2016/10/1. Y1 - 2016/10/1. N2 - Introduction: Use of central vascular ligation during dissection around the superior mesenteric artery (SMA) in pancreaticoduodenectomy (PD) for periampullary malignancies has rarely been documented. Methods: We developed the SMA hanging technique (SHT) to facilitate central vascular ligation during PD. Briefly, SMA dissection was initiated using the supracolic anterior approach, followed by left-sided dissection. The SMA was taped under finger guidance immediately after right-sided dissection. The ligament of Treitz was detached from the SMA during left-sided dissection, facilitating adequate lymph node dissection while preserving the nerve plexus around the SMA. ...
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Comparisons will be made of the primary endpoints of both intervention groups for all randomized patients who underwent surgery involving the pp-Whipple procedure. Patients will be analysed as randomized applying the ITT principle [18]. In addition, a per-protocol analysis will be performed, including patients who are strictly treated according to the study protocol.. The outcome measures of the primary endpoint will be tested confirmatory applying an analysis of covariance with treatment as factor and age and BMI as continuous covariates.. Secondary endpoints will be analysed in a descriptive manner. Graphically methods will be used by means of box- and scatter- plots. For all continuous secondary endpoints a t-test will be applied, possible differences of categorical secondary endpoints will be analysed using chi-square tests. All p-values will be used as descriptive statistics only without any confirmatory value.. The secondary endpoint Quality of Life (EORTC QLQ-C30, EORTC QLQ PAN26) will be ...
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Whipple Procedure The Whipple Procedure is a complex and delicate surgery that is most often done for chronic pancreatitis or cancer of the pancreas. The pancreas is an organ that has two functions. The first is to produce insulin which controls how much sugar is in your blood. The second is to produce digestive juices that neutralize the acid that is made by your stomach. Your doctor will discuss with you how the surgery affects you. The Whipple is also called a pancreaticoduodenectomy. During the Whipple, part of the pancreas is removed, along with a portion of both the stomach and duodenum (small intestine). The common bile duct and the gallbladder may also be removed. The stomach and pancreas are then attached to the small intestine to allow enzymes and gastric juices to pass into the digestive tract. After Surgery Care of the Incision You will need to look at your incision daily. Call your doctor if you notice: - Increased pain or tenderness at the incision - Increased swelling or opening ...
Data were collected on 317 consecutive patients who underwent pancreatic resection between 2000 and 2007, divided into two groups: group 1, patients under 75 years of age, and group 2, patients with 75 years of age or older. Patients underwent standardized preoperative assessment of general medical conditions, blood tests, tumor marker CA 19-9 determination, abdominal CT scan, and when needed, MRI or PET. Surgical technique included pylorus-preserving pancreaticoduodenectomy for tumors of the head of the pancreas and distal pancreatectomy for tumors located in the body or tail. Total pancreatectomy was reserved for microscopic invasion of the line of resection. For selected cases of benign or border-line tumors a limited resection was performed. The morbidity and mortality rate included all complications or death after surgery until discharge from hospital. In patients with pancreatic cancer, age, stage, lymph node status, grading and radicality of resection were recorded as potentially ...
Do Nothing - you will NOT be considered for benefits from this Settlement, and you will give up any rights to sue Nikita Levy, M.D., the Estate of Nikita Levy, M.D., The Johns Hopkins Health System Corporation, The Johns Hopkins Hospital or Johns Hopkins Community Physicians separately. If you do nothing, you will be bound by the decisions of the Court if the Settlement is approved. If you do not agree with the Settlement, you may write to the Court and object. The objection deadline is August 29, 2014. Whether or not you object to the Settlement, you must register if you wish to be considered for compensation from this Settlement should the settlement be approved. Complete details on your rights and how to object, if you wish, are found on the website listed below.. The Court has scheduled a Fairness Hearing on September 19, 2014 at 3:00 pm, at the Circuit Court for Baltimore City, 111 N. Calvert Street, Baltimore, MD 21202. At this hearing, the Court will consider whether the Settlement is ...
Adenocarcinoma[1] (/ˌædᵻnoʊkɑːrsᵻˈnoʊmə/; plural adenocarcinomas oradenocarcinomata /ˌædᵻnoʊkɑːrsᵻˈnoʊmᵻtə/) is a type of cancerous tumor that can occur in several parts of the body. It is defined as neoplasia of epithelial tissue that has glandularorigin, glandular characteristics, or both. Adenocarcinomas are part of the larger grouping ofcarcinomas, but are also sometimes called by more precise terms omitting the word, where these exist. Thus invasive ductal carcinoma, the most common form of breast cancer, is adenocarcinoma but does not use the term in its name-however, esophageal adenocarcinoma does to distinguish it from the other common type of esophageal cancer, esophageal squamous cell carcinoma. Several of the most common forms of cancer are adenocarcinomas, and the various sorts of adenocarcinoma vary greatly in all their aspects, so that few useful generalizations can be made about them. ...
Johns Hopkins Hospitals addition reflects several of the essential dichotomies of health care: It is driven by both compassion and the bottom line, by sensitivity to the sick and the practical need of physicians to do their work in certain basic, mechanical ways.
PRIMARY OBJECTIVES:. I. To estimate the median overall survival of patients with adenocarcinoma of the pancreas treated with induction chemotherapy, neoadjuvant chemoradiotherapy, surgical resection and adjuvant chemotherapy.. SECONDARY OBJECTIVES:. I. To determine the percent of patients surviving at annual intervals through five years.. II. To determine the median recurrence free survival following pancreaticoduodenectomy.. III. To determine the clinical response rate to neoadjuvant chemotherapy and chemoradiotherapy.. IV. To determine the pathologic response rate to neoadjuvant chemotherapy and chemoradiotherapy.. V. To determine the cancer antigen (CA) 19-9 tumor marker response rate to neoadjuvant chemotherapy and chemoradiotherapy.. VI. To determine the surgical completion rate and complication rate following neoadjuvant chemotherapy and chemoradiotherapy.. VII. To determine the frequency and severity of toxicities associated with this treatment regimen.. OUTLINE:. INDUCTION CHEMOTHERAPY: ...
This video demonstrates an end-to-side duct-to-mucosa pancreaticojejunostomy as part of a pancreaticoduodenectomy to resect a pancreatic head neoplasm. The patient is a 69 year-old female who experienced months of right upper quadrant abdominal pain and had labs consistent with biliary obstruction. Work-up with endoscopic retrograde cholangiopancreatography (ERCP) identified an ampullary mass that was biopsied and returned as ampullary carcinoma. DOI: http://dx.doi.org/10.17797/dyb8dqxxnr Editor Recruited By: Jeffrey B. Matthews, MD
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Is intra-abdominal drainage necessary after pancreaticoduodenectomy?: Closed suction drains after pancreaticoduodenectomy are theoretically used to drain potent
BACKGROUND: Postoperative pancreatic fistula (POPF) is the main cause of fatal complications after pancreatoduodenectomy. There is still no universally accepted technique for pancreaticoenterostomy, especially in patients with soft pancreas. METHODS: Between July 2008 and June 2013, 240 patients who underwent pancreatoduodenectomy were enrolled in this single-institution matched historical control study. To approximate the pancreatic parenchyma to the jejunal seromuscular layer, 120 patients underwent anastomosis using the Kakita method (three or four interrupted penetrating sutures) and 120 underwent anastomosis using the modified Blumgart anastomosis (m-BA) method (one to three transpancreatic/jejunal seromuscular sutures to completely cover the pancreatic stump with jejunal serosa ...
The Hopkins hospital, which opened April 29, will replace a large portion of its East Baltimore campus, including buildings constructed in the 1930s and 1950s. Read more about the hospital here.
MAZZA, Osear et al. Duodenopancreatectomía totalmente laparoscópica: Consideraciones técnicas y aplicabilidad inicial en un centro de alto volumen de cirugía pancreática. Rev. argent. cir. [online]. 2012, vol.102, n.2, pp. 62-68. ISSN 2250-639X .. Background: pancreatoduodenectomy is the treatment of choice for periampullary tumors. The first laparoscopic Whipple was performed by Gagner in 1994. However, the extensión of the dissection, the need to perform múltiple anastomoses in reconstructive phase and the length of the procedure were the main reasons that discouraged surgeons. However in recent years the laparoscopic Whipple procedure has emerged as a therapeutic alternative with encouraging results in selected patients. Aim: present the initial experience with laparoscopic Whipple procedure and the technical aspeets of the approach. Setting: hepatobiliopancreatic surgery sector of the Hospital Italiano de Buenos Aires. Design: prospective, observational. Population: 28 patients ...
|p||p||bold|The aim of the study|/bold| was to analyse early results after middle pancreatectomy based on our experience.|/p||p||bold|Material and methods.|/bold| During the period between 2008 and 2009, 154 pancreatic resections were performed at the Department of Gastrointestinal Surgery, Silesian Medical University in Katowice. The following procedures were performed: 109 (70.78%) pancreatoduodenectomies, 32 (20.78%) distal pancreatectomies, 9 (5.84%) middle pancreatectomies, 3 (1.94%) total pancreatic resections, and 1 (0.65%) subtotal pancreatic resection. Early results in case of nine middle pancreatectomies were subject to analysis.|/p||p||bold|Results.|/bold| Average hospitalization period amounted to 24.28 days (ranging between 8 and 57 days). Mean hospitalization period after surgery amounted to 20.71 days (ranging between 6 and 54 days). Average duration of the surgical procedure amounted to 3.6 hours (ranging between 2.25 and 4 hours). Wirsungs duct required drainage in 4
Biopsies can be performed at both The Johns Hopkins Hospital (JHH) in the Johns Hopkins Outpatient Center and at The Johns Hopkins Bayview Medical Center (JHBMC).. The Johns Hopkins Hospital request form ...
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