A proposal concerning pancreatic reconstruction

DOI Web Site 2 Citations 39 References

Bibliographic Information

Other Title
  • 膵再建術をめぐる提言

Search this article

Abstract

Pancreatic reconstruction is defined as the construction of an outflow channel for pancreatic juice by pancreaticoenterostomy or pancreaticopancreaticostomy following complete separation of the pancreatic parenchyma or pancreatic duct. Surgical procedures that require pancreatic reconstruction include pancreatic head resection and middle pancreatectomy, which involve pancreatic resection, and pancreas head-preserving segmental duodenectomy and partial resection of the papilla of Vater, which do not involve pancreatic resection. In most cases undergoing these procedures, pancreatic reconstruction is accomplished by pancreaticojejunostomy or pancreaticogastrostomy, but reconstruction by pancreaticoduodenostomy or pancreatic duct-to-duct anastomosis is possible depending on the length of the resected pancreas or the diameter of the pancreatic duct. The General Rules for the Study of Pancreatic Cancer in Japan, 5th Edition, provide detailed descriptions of the reconstruction methods after pancreaticoduodenectomy (PD) or pylorus-preserving PD, but there is no mention of reconstruction methods following other resection procedures. Therefore, the authors hope that the concept and terms concerning these methods be discussed and clarified in the future.<br>

Journal

  • Suizo

    Suizo 22 (6), 609-619, 2007

    Japan Pancreas Society

Citations (2)*help

See more

References(39)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top