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Hackert, T.* ; Werner, J.* ; Weitz, J.* ; Schmidt, J.* ; Büchler, M.W.*

Uncinate process first - a novel approach for pancreatic head resection.

Langenbecks Arch. Surg. 395, 1161-1164 (2010)
DOI PMC
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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Publication type Article: Journal article
Document type Scientific Article
ISSN (print) / ISBN 1435-2443
e-ISSN 1435-2451
Quellenangaben Volume: 395, Issue: 8, Pages: 1161-1164 Article Number: , Supplement: ,
Publisher Springer
Publishing Place Berlin ; Heidelberg [u.a.]
Reviewing status Peer reviewed
Institute(s) Institute of Pancreatic Islet Research (IPI)