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Langenbeck's Archives of Surgery

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01-11-2010 | How to do it

Uncinate process first—a novel approach for pancreatic head resection

Authors: Thilo Hackert, Jens Werner, Jürgen Weitz, Jan Schmidt, Markus W. Büchler

Published in: Langenbeck's Archives of Surgery | Issue 8/2010

Abstract

Purpose

Partial pancreatico-duodenectomy is the standard treatment for malignancies of the pancreatic head. We describe a technical modification with a retrograde dissection of the pancreatic head as a novel surgical approach.

Methods

Retrograde resection of the pancreatic head is performed starting with the uncinate process after division of the first jejunal loop and transection of the pancreas as the last operative step of the resection. Technical aspects and possible advantages for this procedure are discussed.

Results

The retrograde resection can be safely performed and offers a comfortable and innovative approach for pancreatico-duodenectomy.

Conclusions

The “uncinate process first” approach can serve as an additional approach in modern pancreatic surgery. Further studies are required to evaluate this procedure regarding operative parameters and postoperative outcome compared to the standard resection.

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Title: Uncinate process first—a novel approach for pancreatic head resection
Authors: Thilo Hackert
Jens Werner
Jürgen Weitz
Jan Schmidt
Markus W. Büchler
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 8/2010
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-010-0663-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Uncinate process first—a novel approach for pancreatic head resection

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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