Prosthesis of biliary and pancreaticojejunal anastomoses after cephalic duodenopancreatectomy (original) (raw)

2012, Esso Volume of Abstracts

In case of tumours in the ampullar region, in the head of pancreas, in the distal choledocus or in the duodenum, radical surgery (cephalic duodenopancreatectomy) is performed, in one or two stages, in order to remove the head of the pancreas, the duodenum and the duodeno-jejunal angle, the terminal choledocus, the gastric antrum and loco-regional lymphatic nodules. Brief history: The first procedure of this type was performed by Kausch in 1909, and in 1940 Whipple perfected the technique and applied it during a one-stage surgery. In 1994, the first laparoscopic CDP procedure was performed. Surgical procedures evaluated: 158 axial draining and prosthesis of the bilioenteric anastomosis 42 Benign lesions Bilioenteric anastomoses-29 Repermeabilization of anastomotic stenoses-The prosthesis of biliary and pancreaticojejunal anastomosis is temporary, as it ensures the safety of sutures. The prosthesis advantages are: avoidance of fistulae, avoidance of stensoses, easier cholangiographic exploration.