Premium
PANCREATICO‐DUODENAL RESECTION FOR CARCINOMA
Author(s) -
Smith Julian Orm,
Brown Grayton
Publication year - 1952
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1952.tb03429.x
Subject(s) - medicine , ampulla of vater , ampulla , head of pancreas , resection , laparotomy , pancreas , stage (stratigraphy) , carcinoma , decompression , radiology , surgery , paleontology , biology
Summary1 Early and accurate diagnosis of carcinoma of the pancreas and the ampulla of Vater can be assised by the use of bio‐ chemical tests and perhaps liver biopsy. Early laparotomy is essential to avoid further liver damage and spread of the tumour. 2 The general clinical improvement of the patients and the improvement of these tests have shown the value of preliminary decompression of the biliary system be‐ fore pancreatico‐duodenal resection. A two stage operation is therefore recom‐ mended. 3 The diagnosis of small tumours of the ampulla or head of the pancreas is dis‐ cussed and its importance emphasised as the most difficult tumours to diagnose will probably have the best prognoses. 4 A detailed description of the steps in pancreatico‐duodenal resection is given, with illustrations. The hazards are em‐ phasized. 5 The results of resection in eight cases are recorded.