Preliminary experience with the uncinate process first for pancreaticoduodenectomy
10.3760/cma.j.issn.1674-1935.2012.01.003
- VernacularTitle:“钩突优先切除”在胰头十二指肠切除术中的应用
- Author:
Zhuyin QIAN
;
Wentao GAO
;
Kuirong JIANG
;
Junli WU
;
Jianmin CHEN
;
Feng GUO
;
Zipeng LU
;
Jishu WEI
;
Yi MIAO
- Publication Type:Journal Article
- Keywords:
Pancreatico-duodenectomy;
Technique;
Uncinate
- From:
Chinese Journal of Pancreatology
2012;12(1):6-8
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the value of uncinate process first for pancreaticoduodenectomy (PD).MethodsThe clinical data of 19 patients admitted from December 2010 to March 2011,who underwent uncinate process first for PD were studied.ResultsAmong the 19 patients,there were 5 cases of periampullary adenocarcinoma,11 cases of pancreatic cancer,1 case of duodenum aggressive fibromatosis,1 case of main pancreatic duct type IPMN,1 case of SPN.During operation,3 patients (21％) were found to have abnormal or aberrant right hepatic artery.Among the 11 patients with pancreatic cancer,there are Peripancreatic lymph node(3 ～7) metastasis,in 7 cases,and nerve invasion occurred in 8 cases.All the N16 lymph nodes,pancreatic stump,bile duct margin,duodenum and retroperitoneal margin were negative,and all the cases were subjected to R0 resection.The median time for the portal vein blocking was 16 minutes.The average operation time was 4h and there was no major bleeding occurred,and the mean blood loss was 600 ml.No intractable diarrhea occurred post-operatively. Conclusions Uncinate process first for PD offers a comfortable,safe,accurate and controllable method to resect pancreatic head.
