Reoperative pancreaticoduodenectomy for periampullary carcinoma

American Journal of Surgery
E K RobinsonD B Evans

Abstract

We have noted a continued increase in the number of patients referred to our institution for presumed or biopsy-proven periampullary carcinoma following an "exploratory" laparotomy during which tumor resection was not performed. Although previous work has demonstrated the safety of reoperative pancreaticoduodenectomy (PD), the need to avoid nontherapeutic laparotomy in these patients is obvious. In the current study, we sought to determine why PD was not performed at the initial operation. Using the prospective pancreatic cancer database, we identified all patients who underwent reoperative PD at our institution between June 1990 and October 1995. Radiologic imaging prior to reoperation was standardized and based on thin-section, contrast-enhanced computed tomography (CT); helical CT was used in more recent cases. Pathologic data were obtained, and initial outside operative reports were reviewed to determine why a PD was not performed at the initial procedure. Twenty-nine patients underwent reoperative PD. Resection was not performed at the initial laparotomy because of the surgeon's assessment of local unresectability (17 patients), lack of a tissue diagnosis of malignancy (9), misdiagnoses (2), and error in intraoperative man...Continue Reading

References

Sep 1, 1991·The British Journal of Surgery·P D de RooijM F Brennan
Feb 1, 1994·Annals of Surgery·D S Tyler, D B Evans
Jul 1, 1993·Annals of Surgery·D B EvansT A Rich
Jan 1, 1993·American Journal of Surgery·R J Geer, M F Brennan
Jan 1, 1993·American Journal of Surgery·C AlvarezH A Reber

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Citations

Oct 9, 2002·Clinical Obstetrics and Gynecology·Anne T O'Meara
Oct 19, 2007·Annals of Surgical Oncology·Christoph W MichalskiMarkus W Büchler
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Dominique Delbeke, William H Martin
Feb 18, 2010·Surgical Oncology Clinics of North America·Dominique Delbeke, William H Martin
Apr 1, 2008·PET Clinics·Dominique Delbeke, William H Martin
Jun 24, 2005·ANZ Journal of Surgery·Parul J ShuklaLuis J Desouza
Sep 22, 2006·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·J-R Delpero, O Turrini
Sep 6, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jae Geun LeeKyung Sik Kim
Aug 6, 2000·Seminars in Nuclear Medicine·R Bar-ShalomM D Blaufox
Feb 25, 1999·Annals of Surgical Oncology·D B Evans, J L Abbruzzese

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