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Preface: The history and present status of duodenum‐preserving resections of the head of the pancreas
Author(s) -
Hirata Koichi
Publication year - 1995
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02348281
Subject(s) - duodenum , pancreas , medicine , blood supply , resection , pancreatic head , surgery , general surgery , head of pancreas
In treating any illness surgically, a constant principle among surgeons is to develop and perform the least invasive procedures possible whenever surgical treatment is the only effective recourse indicated. In this regard, it is well documented that for, most benign diseases sited in the head of the pancreas, a duodenum‐preserving total resection of the head of the pancreas is effective. The advantage of this procedure is its minimal invasiveness, since, although the head of the pancreas is completely resected, duodenal function is preserved, and, if the nerve tissue of the plexus can be left intact, there is minimal disturbance of the digestive processes and the preoperative nutritional status can therefore be maintained. However, many anatomical questions regarding the results of the procedure have yet to be resolved, in particular: (1) How does the blood circulation reach the duodenal wall after the procedure? (2) How is the pancreaticoduodenal anatomy affected by complete resection of the head of the pancreas? and (3) How does the blood supply reach the intrapancreatic biliary ducts? The answers to these questions will do much toward increasing the success rate of pancreaticoduododenal surgery.