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Difference between revisions of "Pancreas"
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→Whipple
(→Adenocarcinoma vs. pancreatitis: wikify) |
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**Specimen usually comes with a spleen. | **Specimen usually comes with a spleen. | ||
===Whipple=== | ===Whipple procedure=== | ||
Margins: | 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). | |||
#Distal mucosal margin (duodenum or jejunum). | |||
#Bile duct margin. | |||
#Pancreatic retroperitoneal (uncinate process) margin. | |||
#*At SB done ''on edge'' (not ''en face''). | |||
#Pancreatic neck transection margin ([[AKA]] distal pancreatic resection margin).<ref name=pmid20485150>{{Cite journal | last1 = Jamieson | first1 = NB. | last2 = Foulis | first2 = AK. | last3 = Oien | first3 = KA. | last4 = Going | first4 = JJ. | last5 = Glen | first5 = P. | last6 = Dickson | first6 = EJ. | last7 = Imrie | first7 = CW. | last8 = McKay | first8 = CJ. | last9 = Carter | first9 = R. | title = Positive mobilization margins alone do not influence survival following pancreatico-duodenectomy for pancreatic ductal adenocarcinoma. | journal = Ann Surg | volume = 251 | issue = 6 | pages = 1003-10 | month = Jun | year = 2010 | doi = 10.1097/SLA.0b013e3181d77369 | PMID = 20485150 }}</ref> | |||
#Sometimes superior mesenteric vein (SMV). | |||
#Rarely SMA margin. | |||
==General classification of pancreatic tumours== | ==General classification of pancreatic tumours== | ||