Journal of Hepatology and Gastrointestinal disorders
Open Access
ISSN: 2475-3181
+44-77-2385-9429
ISSN: 2475-3181
+44-77-2385-9429
Department of Surgery, General Surgery Service of the Ibarra General Hospital of the Social Security of Ecuador, Ecuador
Case Report
Duodenum-Pancreatectomy with Pancreatic Abandonment, Report of the First Case of This Technique in Ecuador
Author(s): Medina Donoso Gabriel*, Gordillo Villamar Rene, Quinga Vengoa Mijail, Angos Mediavilla Veronica and Gordillo Aldas Daniela
The incidence of malignant tumors of the pancreas has increased in countries of the Asian continent and in Western nations, the mortality of radical respective surgery of the pancreas is less than 3%, the postoperative pancreatic fistula is present in 10%, the associated mortality the development of a post-surgical pancreatic fistula can reach up to 40% 4-5-6-7. We present a clinical case of a patient with adenocarcinoma of the head of the pancreas in which a variant of the classic technique was applied, “leaving” the distal pancreas. A 70-year-old male patient, diabetic and hypertensive, who presents with abdominal pain and jaundice, a laboratory confirms an obstructive cholestasis pattern, a tomography shows adenocarcinoma of the head of the pancreas, a Whipple procedure was performed and it was decided not to perform a jejunal pancreatic anastomosis by placing a surgica.. View More»