The Concept of Customized Pancreatoduodenectomy
Fig. 23.1 (a) Superior part of the pancreatic head. (b) Inferior part of the pancreatic head. (Arrow a) Soft tissue plane between antropyloric area of the stomach and the pancreas,…
Pathological Classification
Fig. 3.1 Conventional pancreatic ductal adenocarcinoma: variably sized well-formed glands surrounded by abundant desmoplastic stroma The difficulty in distinguishing ductal adenocarcinoma from chronic pancreatitis also applies to the microscopic diagnosis…
Controversial Issues in Pathological Diagnosis
Fig. 4.1 (a, b) Normal pancreatic duct epithelium. (b) A magnified image. Epithelial lining composed of a single layer of cuboidal cells Fig. 4.2 (a) Carcinoma in situ composed of…
Retroperitoneal Nerve Plexus Dissection During Pancreatoduodenectomy
Fig. 16.1 The fusion fascia of the pancreatic head is called the “fusion fascia of Treitz” and that of the pancreatic body and tail is the “fusion fascia of Toldt.”…
Concepts in Isolated Pancreatectomy for Pancreatic Cancer Using the Nakao Mesenteric Approach and Catheter Bypass of the Portal Vein
Fig. 20.1 Pancreatic blood supply. IPDA inferior pancreaticoduodenal artery, GDA gastroduodenal artery, SA splenic artery Fig. 20.2 Catheter bypass of the portal vein: (A) bypass between the mesenteric and femoral…
Emerging New Treatment Modalities: Irreversible Electroporation
Author Premalignant lesion n Treatment Median area of ablation, mm (range) Outcome Complications Gan et al. Cystic tumors of the pancreas 25 EUS-guided ethanol lavage 19.4 (6–30) Complete resolution in…
Imaging Diagnosis of Pancreatic Cancer: CT and MRI
Fig. 7.1 A 69-year-old man with pancreatic head cancer. Pancreatic protocol MDCT and MRI examinations. (a–d) Pancreatic protocol MDCT examination composed of precontrast (a), early arterial (b), pancreatic (c), and…
Endoscopic Intervention
Biliary intervention Preoperative biliary drainage Palliation of obstructive jaundice Duodenal intervention Palliation of duodenal and gastric outlet obstruction Palliation of pain Pancreatic duct stent placement Endoscopic ultrasound-guided celiac plexus/ganglia neurolysis…
Mesopancreas Excision for Pancreatic Cancer
Fig. 19.1 Conceptual schema of central vascular ligation during pancreaticoduodenectomy (quoted from reference [10] with modification). (a) Magnified view of systems around the pancreas head with the components arranged in…
Rare Complications After Pancreatectomy
I. Vascular complications SMV or portal vein thrombosis Bowel ischemia Hepatic ischemia Omental infarction II. Nonvascular complications Anastomosis site leakage (except Pancreaticoenteric anastomosis) Anastomosis site ulcer Perioperative catheter related—PEG or…
