Pancreaticoduodenal resection

Title: "Resection Pancreatoduodenal (RPD) surgery: review and implications"

Introduction: Pancreaticodudenectomy (RPD), also known as partial pancreaticoduodenectomy (PD), is a major surgical procedure that can be performed to treat certain cancers of the pancreas and first intestine (duodenum). It consists of removing the pancreas, part of the duodenum, gallbladder and adjacent lymphatic system from the base of the neck to the ileum. The goal of RPD is to get rid of tumors and remove their possible metastases from the area of ​​the lipatic ducts into the duodenum, as well as reduce the risk of relapse and metastasis of malignant neoplasms. This intervention is one of the most complex operations performed in modern medicine, and it is accompanied by a high level of risk. However, these studies suggest that RPD may lead to improved survival in some malignancies. This article will provide an overview of current methods and technologies used in RPD and explain the significance of this intervention.

Materials and methods: Today, RPD is performed by two main methods: laparotomy and laparoscopic. Both methods have their advantages and disadvantages depending on the specific clinical situation and surgeon preference. The laparotomy method, or open surgery, refers to a classic surgical procedure involving cutting the abdominal wall. It usually requires longer patient preparation time and longer hospitalization because it does not allow access to the operated area without opening the peritoneum. On the other hand, this approach has access to the peritoneum, which can help control bleeding and provides the operator with a wider area to work with. The laparoscopic technique, on the other hand, minimizes hospitalization time and intraoperative blood loss, allowing patients to be treated more quickly and less invasively. It can be used even with extremely limited tumor sizes. However

Resection of the pancreas and duodenum is the surgical removal of a segmental part of an organ or the entire duodenum, accompanied by the intersection of the pancreatic ducts. When performing the operation, all surrounding tissues are removed (except for the hepatoduodenal ligament), moving 2 cm away from the pancreatic necrotic area.