Pancreaticoduodenectomy (Whipple procedure)

Slides:

Advertisements

Similar presentations

MANAGEMENT. SURGICAL RESECTION Only potentially curative treatment for patients with pancreatic cancer The resectability of malignant pancreatic tumors.

Advertisements

Adhesive capsulitis of the shoulder

Summary of staging criteria for cancers of the oral cavity, oropharynx, hypopharynx, and larynx. Carcinoma in situ is stage 0, and presence of distant.

Sinonasal anatomy. In this coronal plane CT scan, several key sinonasal landmarks can be seen. M, maxillary sinus; IT, inferior turbinate; MT, middle turbinate;

Sagittal T2-weighted MRI of lumbar spine showing multilevel disk bulges, ligamentum flavum hypertrophy, and retrolisthesis at L2-L3. Source: Neurosurgery,

The anatomic spectrum of intestinal atresia

The cycle of injury and reinjury resulting from rotator cuff impingement. Source: Chapter 3. Sports Medicine, Current Diagnosis & Treatment in Orthopedics,

Forearm support for sustained work at the computer.

A. In monopolar electrosurgery, current from an electrosurgical generator passes from an active electrode (the “Bovie” tip) through the patient to a return.

Radiograph of a giant cell tumor of the thumb

Staging of endometriosis

Chronic sinusitis. In this axial plane CT of a patient with chronic sinusitis, radiographic evidence of inflammation can be seen. The right nasolacrimal.

The typical course of acute and chronic hepatitis C

Sagittal T2-weighted MRI scan of a Chiari showing typical peg-like appearance of cerebellar tonsils and associated syringomyelia. Source: Neurosurgery,

The role of the ileocecal valve in obstruction of the colon

Survival rates after thyroidectomy for papillary, mixed papillary-follicular, follicular, medullary, and undifferentiated thyroid cancer. Source: Thyroid.

Internal hemorrhoids. (Used, with permission, from John Cello, MD.)

Technique of varicose vein stripping

A: Preoperative lateral radiograph of a patient with hallux rigidus

Scaphoid fracture. A. Scaphoid fracture nonunion. B

Spectrum of inguinoscrotal disorders. A: Normal anatomy

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

Nonalcoholic steatohepatitis (NASH)

A: High female anatomic anomaly. Low vaginal fistula

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

CT myelogram demonstrates severe spinal stenosis at L3-L4 along with bilateral facet arthropathy (black arrows). Source: Chapter 4. Disorders, Diseases,

Gallstones. Longitudinal ultrasonogram through the right upper quadrant. The gallbladder contains both sludge and stones (arrows). The gallstones are characteristically.

Small bowel Crohn disease.

Femoral shaft fracture. A

Ulcerative colitis. Barium enema x-ray of colon

Barium enema showing acute colonic dilation in ulcerative colitis

A. X-ray of congenital dislocation of the right hip. B

Pancreaticoduodenectomy (Whipple procedure)

Monteggia’s fractures. The classification of Monteggia lesions by Bado

Primary resection for diverticulitis of the colon, also used in acute large bowel obstructions. The affected segment (shaded) has been divided at its distal.

Pedal venous pressure measurements with exercise

Diagnosis and surgical treatment of glomus tumor

Kaplan-Meier survival for adult heart transplants performed between January 1982 and June 2006 by era. All comparisons are significant at p < (Reproduced.

Radiograph of a solitary plasmacytoma in the proximal femur of a 46-year-old man. Source: Chapter 5. Musculoskeletal Oncology, Current Diagnosis & Treatment.

Staging system for gastric carcinoma

Longitudinal view of the proximal plantar fascia as it originates from the calcaneus (CALC). Source: Musculoskeletal Ultrasound, CURRENT Diagnosis & Treatment:

The triplane (A) and juvenile Tillaux (B) fractures are variations of ankle fracture that occur in the adolescent shortly before physeal closure. Because.

Therapeutic injection site on the medial heel for plantar fasciitis

Pancreatic neuroendocrine tumor (PNET) demonstrating enhancement during arterial phase of CT scan. Pancreatic head PNET seen in (left) sagital, (middle)

A Pavlik harness used to treat developmental dysplasia of the hip.

The Pavlik harness, a device used for treatment of hip dislocation, subluxation, and dysplasia. Source: Chapter 10. Pediatric Orthopedic Surgery, Current.

A Pavlik harness used to treat developmental dysplasia of the hip.

Right recurrent laryngeal nerve paralysis (dotted line = midline)

Anteroposterior weight-bearing radiograph of a patient with a symptomatic hallux valgus deformity. Lines drawn show hallux valgus angle and 1,2 intermetatarsal.

Internal hemorrhoids. (Used, with permission, from John Cello, MD.)

Colposcopy triage. Satisfactory colposcopy is defined as complete visualization of the squamocolumnar epithelium, which comprises the cervical region most.

MRI of pleomorphic adenoma

Axial CT view of a ventral hernia with incarcerated transverse colon (arrow). Note the defect in the fascia. Source: HERNIAS, Acute Care Surgery: Imaging.

Chronic sinusitis. In this axial plane CT of a patient with chronic sinusitis, radiographic evidence of inflammation can be seen. The right nasolacrimal.

Gastrointestinal stromal tumor

Thumb spica splint for ulnar collateral ligament injury and De Quervain’s tenosynovitis. Source: Orthotics, CURRENT Diagnosis & Treatment: Physical Medicine.

Hip disarticulation prosthesis with bucket-style socket and anterior mount hip joint. Source: Lower Limb Amputation, Rehabilitation, & Prosthetic Restoration,

Hybrid total hip replacement with porous coated acetabular shell and cemented femoral stem performed for osteoarthritis. Source: Orthopedic Surgery, CURRENT.

Carotid angioplasty and stenting

Epigastric hernia. Note closeness to midline and the presence in upper abdomen. The herniation is through the linea alba. Source: Hernias & Other Lesions.

Small bowel obstruction

Radiograph of a pathologic fracture secondary to Gaucher disease involving the distal femur in a 29-year-old man. Source: Chapter 5. Musculoskeletal Oncology,

A: Edwards Sapien percutaneous aortic valve (Reproduced with permission from Edwards Lifesciences, Irvine, California.) B: Medtronic CoreValve, currently.

Sensory distribution in the hand

Positron emission tomography (PET scan)

Diagram of a triple arthrodesis

Sagittal magnetic resonance T1-weighted image with contrast of the lumbar spine demonstrating diskitis/osteomyelitis associated with a spinal epidural.

Dilated bile ducts. A: CT shows a dilated distal bile duct (arrowhead)

Blood supply and luminal surface of the small bowel

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Presentation transcript:

Pancreaticoduodenectomy (Whipple procedure) Pancreaticoduodenectomy (Whipple procedure). A: Preoperative anatomic relationships showing a tumor in the head of the pancreas. B: Postoperative reconstruction showing pancreatic, biliary, and gastric anastomoses. A cholecystectomy and bilateral truncal vagotomy are also part of the procedure. In many cases, the distal stomach and pylorus can be preserved, and vagotomy is then unnecessary. Source: Pancreas, CURRENT Diagnosis & Treatment: Surgery, 14e Citation: Doherty GM. CURRENT Diagnosis & Treatment: Surgery, 14e; 2015 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1202/doh_ch26_f005.png&sec=71521877&BookID=1202&ChapterSecID=71521584&imagename= Accessed: December 26, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved