Critical steps for pancreaticoduodenectomy in the setting of pancreatic adenocarcinoma

J Surg Oncol. 2013 Jan;107(1):33-8. doi: 10.1002/jso.23166. Epub 2012 Jun 18.

Abstract

Pancreatic resection is one part of a multimodal, multidisciplinary approach to current treatment of pancreatic adenocarcinoma. The operation herein has been divided into six discreet steps followed by methods of reconstruction. Management of portal venous and arterial involvement is discussed in detail. The key steps to safe pancreatic surgery are emphasized as one part of present and future pancreatic cancer care.

MeSH terms

  • Adenocarcinoma / surgery*
  • Anastomosis, Surgical
  • Humans
  • Mesenteric Veins / pathology
  • Mesenteric Veins / surgery
  • Organ Sparing Treatments
  • Pancreas / blood supply
  • Pancreas / surgery
  • Pancreatic Neoplasms / surgery*
  • Pancreaticoduodenectomy / methods*
  • Portal Vein / pathology
  • Portal Vein / surgery