RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127273730
T1 TOTAL PANCREATECTOMY
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127273730
RD 2024/04/16
AB Total  pancreatectomy  may  be  indicated  in  the  treatment  of  neoplasms  of  the  pancreas  as  well  as  for  incapacitating,  chronic,  recurrent  pancreatitis.  Excision  of  the  entire  gland  ensures  more  complete  removal  of  neoplasms  but  adds  little  to  the  average  long-term  survival.  Multicentric  tumor  locations  are  excised  and  cellular  implantations  are  obliterated  within  the  remaining  ductal  system,  and  intimately  attached  lymph  nodes  are  excised.  Removal  of  the  pancreas  simplifies  the  reconstruction  of  the  upper  gastrointestinal  tract  and  minimizes  the  complications  from  pancreatic  duct  implantation,  postoperative  pancreatitis,  hemorrhage,  and  sepsis.