Download International Practices in Pancreatic Surgery by René Mantke, Hans Lippert, Markus W. Büchler, Michael G. PDF

By René Mantke, Hans Lippert, Markus W. Büchler, Michael G. Sarr

“International Practices in Pancreatic surgical procedure“ describes in nice element common and particular technical points of the traditional resection systems of the pancreas. each one surgical step through the pancreatic operation is strictly defined and observed by way of drawings and pictures. the most chapters on pancreatic carcinoma, continual and acute pancreatitis are written via the editors. a world college enhances the texts via describing their very own own recommendations. this idea bargains the best attainable assessment of the suggestions utilized by skilled surgeons.

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4 Situs after partial duodeno-pancreatectomy with standardized lymphadenectomy. Dissection has been performed along the portal vein (black arrow) and right side of the celiac axis (broken white arrow), white arrow: pancreatic remnant Fig. 5 Scheme of the anastomosis technique showing the two layer suture of the posterior wall (two left pictures) and the anterior wall (two right pictures) 3 Commentary Fig. 6 Intraoperative situs during pancreatico-jejunostomy. Prepared duct sutures (white arrow) and jejunal loop (black arrow) Fig.

Mantke et al. 1007/978-3-540-74506-8_6, © Springer-Verlag Berlin Heidelberg 2013 47 48 metastasis, including liver metastases and peritoneal seeding, is a contraindication for resection. We routinely sample lymph nodes in the aortocaval groove following the Kocher maneuver (before proceeding with resection). If any positive lymph nodes are seen in this area, operation is concluded. We prefer that the greater omentum be detached from the transverse colon rather than being divided between ligatures to preserve omentum vascularity.

If any positive lymph nodes are seen in this area, operation is concluded. We prefer that the greater omentum be detached from the transverse colon rather than being divided between ligatures to preserve omentum vascularity. We agree with Drs. Mantke and Lippert’s perspective that the well-vascularized omentum helps to control postoperative complications of the pancreatic anastomosis. We sometimes use the segmental omentum (omentum flap) to cover the pancreatic anastomosis to prevent serious complications.

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