RESUMO
The authors report their experience with 9 patients, affected by pancreatic and periampullary carcinoma, treated using pancreaticoduodenectomy with pyloric preservation. They analyse the physiopathology of this technique, by the light of the international reports, and note the advantages that this technique allows about the nutritional status and the quality of life of the patients operated on.
Assuntos
Ampola Hepatopancreática/fisiopatologia , Neoplasias do Ducto Colédoco/fisiopatologia , Neoplasias Duodenais/fisiopatologia , Neoplasias Pancreáticas/fisiopatologia , Pancreaticoduodenectomia/métodos , Idoso , Ampola Hepatopancreática/cirurgia , Neoplasias do Ducto Colédoco/cirurgia , Neoplasias Duodenais/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/cirurgia , Pancreaticoduodenectomia/instrumentação , Qualidade de Vida , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Advances in laparoscopic surgical procedures will facilitate the solution of specific problems, especially in emergency surgery. A simple technique of intracorporeal finger assistance, which permits a fast and safe solution in selected cases involving right and left lower abdominal quadrants, is described. The forefinger, introduced like a cannula, can be used to complete laparoscopic procedures in which there is potential risk for bowel injury or failure in using laparoscopic instruments.