The American Journal of Surgery
Volume 192, Issue 6 , Pages 888-893 , December 2006

Pancreaticoduodenectomy for suspected malignancy: have advancements in radiographic imaging improved results?

Presented at the 58th Annual Meeting of the Southwestern Surgical Congress, Kauai, Hawaii, April 3–7, 2006

  • Aaron R. Sasson, M.D.

      Affiliations

    • Department of Surgery, University Nebraska Medical Center, 984030 Nebraska Medical Center, Omaha, NE 68198-4030, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-402-559-8941; fax: +1-402-559-7900.
  • ,
  • James M. Gulizia, M.D., Ph.D.

      Affiliations

    • Department of Pathology and Microbiology, University Nebraska Medical Center, Omaha, NE, USA
  • ,
  • Annabel Galva, M.D.

      Affiliations

    • Department of Radiology, University Nebraska Medical Center, Omaha, NE, USA
  • ,
  • Joseph Anderson, M.D.

      Affiliations

    • Department of Radiology, University Nebraska Medical Center, Omaha, NE, USA
  • ,
  • Jon Thompson, M.D.

      Affiliations

    • Department of Surgery, University Nebraska Medical Center, 984030 Nebraska Medical Center, Omaha, NE 68198-4030, USA

Received 15 April 2006 ,Revised 10 August 2006

References 

  1. Yeo CJ, Cameron JL, Sohn TA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s:pathology, complications, and outcomes. Ann Surg. 1997;226:248–257
  2. Povoski SP, Karpeh MS, Conlon KC, et al. Preoperative biliary drainage: impact on intraoperative bile cultures and infectious morbidity and mortality after pancreaticoduodenectomy. J Gastrointest Surg. 1999;3:496–505
  3. Abraham SC, Wilentz RE, Yeo CJ, et al. Pancreaticoduodenectomy (Whipple resections) in patients without malignancy are they all ‘chronic pancreatitis’?. Am J Surg Pathol. 2003;27:110–120
  4. Smith CD, Behrns KE, VanHeerden JA, Sarr MG. Radical pancreatoduodenectomy for misdiagnosed pancreatic mass. Br J Surg. 1994;81:585–589
  5. Van Gulik TM, Reeders JW, et al. Incidence and clinical findings of benign, inflammatory disease in patients resected for presumed pancreatic head cancer. Gastrointest Endosc. 1997;46:47–53
  6. Tessler DA, Catanzaro A, Velanovich V, et al. Predictors of cancer in patients with suspected pancreatic malignancy without a tissue diagnosis. Am J Surg. 2006;191:191–197
  7. Kennedy T, Preczewski L, Stocker SJ, et al. Incidence of benign inflammatory disease in patients undergoing Whipple procedure for clinically suspected carcinoma: A single-institution experience. Am J Surg. 2006;191:437–441
  8. Thompson JS, Murayama KM, Edney JA, Rikkers LF. Pancreaticoduodenectomy for suspected but unproven malignancy. Am J Surg. 1994;169:571–575
  9. Legmann P, Vignaux O, Dousset B, et al. Pancreatic tumors: comparison of dual-phase helical CT and endoscopicsonography. AJR Am J Roentgenol. 1998;170:1315–1322
  10. Boll DT, Merkle EM. Differentiating a chronic hyperplastic mass from pancreatic cancer: a challenge remaining in multidetector CT of the pancreas. Eur Radiol. 2003;13(suppl 5):M42–M49
  11. DeWitt J, Devereaux B, Chriswell M, et al. Comparison of endoscopic ultrasonography and multidetector computed tomography for detecting and staging pancreatic cancer. Ann Intern Med. 2004;141:753–763
  12. Imbriaco M, Megibow AJ, Ragozzino A, et al. Value of the single-phase technique in MDCT assessment of pancreatic tumors. AJR Am J Roentgenol. 2005;184:1111–1117
  13. Lawler LP, Horton KM, Fishman EK. Peripancreatic masses that simulate pancreatic disease: spectrum of disease and role of CT. Radiographics. 2003;23:1117–1131
  14. Agarwal B, Abu-Hamda E, Molke KL, et al. Endoscopic ultrasound-guided fine needle aspiration and multidetector spiral CT in the diagnosis of pancreatic cancer. Am J Gastroenterol. 2004;99:844–850
  15. Weber SM, Cubukcu-Dimopulo O, Palesty A, et al. Lymphoplasmacytic sclerosing pancreatitis inflammatory mimic of pancreatic carcinoma. J Gastrointest Surg. 2003;7:129–139

PII: S0002-9610(06)00618-0

doi: 10.1016/j.amjsurg.2006.08.064

The American Journal of Surgery
Volume 192, Issue 6 , Pages 888-893 , December 2006