Difference between revisions of "Pancreas"

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893 bytes added ,  02:28, 5 October 2010
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*Distal pancreatectomy.  
*Distal pancreatectomy.  
**Removal of tail +/- body.
**Removal of tail +/- body.
**Specimen usually comes with a [[spleen]].
*Total pancreatectomy.
*Total pancreatectomy.
**Often with splenectomy.
**Specimen usually comes with a spleen.
 
===Whipple===
Margins:
*Common bile duct (CBD).
*Uncinate process.
**At SB done ''on edge'' (not ''en face'').
*Pancreatic neck transection 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==
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