The American Journal of Surgery
Volume 199, Issue 5 , Pages e65-e68 , May 2010

Pancreatoduodenectomy using a no-touch isolation technique

  • Masahiko Hirota, M.D.

      Affiliations

    • Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto City, Kumamoto 860–0811, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81-96-363-3311; fax: +81-96-362-0222
    • ,
  • Keiichiro Kanemitsu, M.D.

      Affiliations

    • Department of Surgery, Saiseikai Kumamoto Hospital, Kumamoto City, Japan
    • ,
  • Hiroshi Takamori, M.D.

      Affiliations

    • Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Kumamoto, Japan
    • ,
  • Akira Chikamoto, M.D.

      Affiliations

    • Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Kumamoto, Japan
    • ,
  • Hiroshi Tanaka, M.D.

      Affiliations

    • Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Kumamoto, Japan
    • ,
  • Hiroki Sugita, M.D.

      Affiliations

    • Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Kumamoto, Japan
    • ,
  • Juhani Sand, M.D.

      Affiliations

    • Division of Surgery, Gastroenterology and Oncology, Tampere University, Tampere, Finland
    • ,
  • Isto Nordback, M.D.

      Affiliations

    • Division of Surgery, Gastroenterology and Oncology, Tampere University, Tampere, Finland
    • ,
  • Hideo Baba, M.D.

      Affiliations

    • Department of Surgery, Saiseikai Kumamoto Hospital, Kumamoto City, Japan

Received 6 May 2008 ,Revised 3 June 2008

References 

  1. Fortner JG, Kim DK, Cubilla A, et al. Regional pancreatectomy: en bloc pancreatic, portal vein and lymph node resection. Ann Surg. 1977;186:42–50
  2. Ishikawa O. Surgical technique, curability and postoperative quality of life in an extended pancreatectomy for adenocarcinoma of the pancreas. Hepatogastroenterology. 1996;43:320–325
  3. Yeo CJ, Cameron JL, Sohn TA, et al. Pancreaticoduodenectomy with or without extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma: comparison of morbidity and mortality and short-term outcome. Ann Surg. 1999;229:613–622
  4. Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of Vater. Ann Surg. 1935;102:763–779
  5. Weitz J, Kienle P, Schmidt J, et al. Portal vein resection for advanced pancreatic head cancer. J Am Coll Surg. 2007;204:712–716
  6. Nakao A, Takagi H. Isolated pancreatectomy for pancreatic head carcinoma using catheter bypass of the portal vein. Hepatogastroenterology. 1993;40:426–429
  7. Yeo CJ, Cameron JL, Lillemoe KD, et al. Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary carcinoma (Part 2: randomized controlled trial evaluating survival, morbidity and mortality). Ann Surg. 2002;236:355–368
  8. Yamamoto K, Shimada S, Hirota M, et al. EIPL (extensive intraoperative peritoneal lavage) therapy significantly reduces peritoneal recurrence after pancreatectomy in patients with pancreatic cancer. Int J Oncol. 2005;27:1321–1328
  9. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005;138:8–13
  10. Verbeke CS, Leitch D, Menon KV, et al. Redefining the R1 resection in pancreatic cancer. Br J Surg. 2006;93:1232–1237
  11. Barnes JP. Physiologic resection of the right colon. Surg Gynecol Obstet. 1952;94:722–726
  12. Turnbull RB, Kyle K, Watson FR, et al. Cancer of the colon: the influence of the no-touch isolation technique on survival rates. Ann Surg. 1967;166:420–427
  13. Hirota M, Shimada S, Yamamoto K, et al. Pancreatectomy using the no-touch isolation technique followed by extensive intraoperative peritoneal lavage to prevent cancer cell dissemination: a pilot study. JOP. 2005;6:143–151
  14. Hartel M, Mente M, Di SP, et al. The role of extended resection in pancreatic adenocarcinoma: is there good evidence-based justification?. Pancreatology. 2004;4:561–566
  15. Wagner M, Redaelli C, Lietz M, et al. Curative resection is the single most important factor determining outcome in patients with pancreatic adenocarcinoma. Br J Surg. 2004;91:586–594
  16. Varadhachary GR, Tamm EP, Abbruzzese JL, et al. Borderline respectable pancreatic cancer: definitions, management, and role of preoperative therapy. Annsurg Oncol. 2006;13:1035–1046
  17. Bachellier Ph, Nakano H, Oussoultzoglou E. Is pancreaticoduodenectomy with mesentericoportal venous resection worthwhile?. Am J Surg. 2001;182:120–129
  18. Kionaris LG, Schoeniger LO, Kovach S. The quick, no-twist, no kink portal reconstruction. J Am Coll Surg. 2003;196:490–494
  19. Leach SD, Lee JE, Charnsangavej C. Survival following pancreaticoduodenectomy with resection of the superior mesenteric-portal vein confluence for adenocarcinoma of the pancreatic head. Br J Surg. 1998;85:611–617
  20. Nakagohri T, Kinoshita T, Konishi M, et al. Survival benefits of portal vein resection for pancreatic cancer. Am J Surg. 2003;186:149–153
  21. Pessaux P, Varma D, Arnaud JP. Pancreaticoduodenectomy: superior mesenteric artery first approach. J Gastrointest Surg. 2006;10:607–611
  22. Varty PP, Yamamoto H, Farges O, et al. Early retropancreatic dissection during pancreaticoduodenectomy. Am J Surg. 2005;189:488–491

PII: S0002-9610(08)00614-4

doi: 10.1016/j.amjsurg.2008.06.035

The American Journal of Surgery
Volume 199, Issue 5 , Pages e65-e68 , May 2010

Article Tools

* Image Usage & Resolution