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Difference between revisions of "Pancreas"
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→Whipple procedure: +prepping
(→Whipple procedure: +prepping) |
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===Whipple procedure=== | ===Whipple procedure=== | ||
*[[AKA]] ''pancreaticoduodenectomy''. | |||
Indications: | |||
*Head of pancreas lesions, duodenal lesions. | |||
[[Margins]]:<ref>URL: [http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2011/SmallbowelNET_11protocol.pdf http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2011/SmallbowelNET_11protocol.pdf]. Accessed on: 29 March 2012.</ref> | [[Margins]]:<ref>URL: [http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2011/SmallbowelNET_11protocol.pdf http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2011/SmallbowelNET_11protocol.pdf]. Accessed on: 29 March 2012.</ref> | ||
#Proximal mucosal margin (stomach or duodenum). | #Proximal mucosal margin (stomach or duodenum). | ||
| Line 38: | Line 43: | ||
#Sometimes superior mesenteric vein (SMV). | #Sometimes superior mesenteric vein (SMV). | ||
#Rarely superior mesenteric artery (SMA) margin. | #Rarely superior mesenteric artery (SMA) margin. | ||
Prepping: | |||
#Open the proximal (stomach) and distal (small bowel) stappled margins. | |||
#Open the duodenum along it length on the anterior aspect. | |||
#Open the stomach along the greater curvature. | |||
#Join the cuts that open the stomach and duodenum. | |||
==General classification of pancreatic tumours== | ==General classification of pancreatic tumours== | ||