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…
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…
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…
Fig. 25.1 Fascial spaces of the retroperitoneum. A left adrenal gland, D duodenum, K kidney, P pancreas, SF splenic flexure of the colon Anteriorly, the organ which is most commonly…
Time of onset Early hemorrhage (≤24 h after the end of the index operation) Late hemorrhage (>24 h after the end of the index operation) Location Intraluminal (intraenteric, e.g., anastomotic…
Pedrazzoli et al. Yeo et al. Farnell et al. Nimura et al. Jang et al. Standard operation Anterior/posterior pancreatoduodenal Pyloric Biliary duct Superior/inferior pancreatic head and body Anterior/posterior pancreaticoduodenal…
Fig. 8.1 EUS of small pancreatic cancer. EUS shows small hypoechoic area in the head of pancreas Elastography Elastography is an imaging modality that can assess the hardness of different…
Fig. 22.1 (a, b) Preset outer-layer U-sutures (three to four sutures) without tying for posterior horizontal mattress sutures on the jejunum Fig. 22.2 (a, b) Preset inner-layer sutures (six to…
Grade A B C Clinical condition Well Often well Ill appearing/bad Specific treatmenta No Yes/no Yes US/CT (if obtained) Negative Negative/positive Positive Persistent drainageb (after 3 weeks) No Usually yes…
Fig. 24.1 Schematic cross-sectional view demonstrating the resection area of distal pancreatectomy with en bloc celiac axis resection (DP-CAR). The dotted line indicates the dissection plane. adr adrenal gland, Ao…
