Staging Laparoscopy with Laparoscopic Ultrasonography ...

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Traditional Pancreatic HeadResections• Classic Whipple Pancreaticoduodenectomy• Pylorus-PreservingPancreaticoduodenectomy (PPPD)• Higher M/M, Complications• Overtreatment ??Probably best for SuspectedBut Unproven Malignancy
The Whipple Procedure‣ GI Disconnection‣ Biliary Disconnection‣ Pancreatic Disconnection‣ Lymphadenectomy‣ Fierce VascularDisconnection‣ Reconstruction
Page 1:
PancreatitisCharles M. Vollmer, Jr.
Page 4 and 5:
Pancreatitis
Page 6 and 7:
Classification of PancreatitisAcute
Page 8 and 9:
Mechanisms ofAcute Pancreatitis•
Page 10 and 11:
Etiology• Alcohol• Gallstones
Page 12 and 13:
What Now?What is the differential?W
Page 15 and 16:
Clinical FeaturesSigns and Symptoms
Page 17 and 18:
Mortality and Ranson’s CriteriaRa
Page 19 and 20:
Change in Plans8 hours later….The
Page 21 and 22:
Basic TenentsFluidsEnd organ suppor
Page 23 and 24:
What’s the diagnosis?
Page 25 and 26:
Indications for BiliarySphincteroto
Page 27 and 28:
Why is he still febrile?
Page 29 and 30: HD # 15• WBC 25,000 and rising•
Page 31 and 32: Infection• Pneumonia• Line Seps
Page 33 and 34: Pancreatic NecrosisDiffuse or focal
Page 35 and 36: Sterile Necrosis:Operative Indicati
Page 37: Clinical Signs of InfectedNecrosis
Page 44 and 45: Abscess
Page 46 and 47: Rational of SurgicalManagementRemov
Page 50 and 51: HD # 25Why is he still in the ICU?
Page 52 and 53: MSOF• Pulmonary• Renal• Cardi
Page 54: Pancreatic Pseudocyst
Page 57 and 58: Chronic Pancreatitis
Page 59 and 60: Course of Chronic Pancreatitis10080
Page 61 and 62: Pathophysiology of Chronic Pancreat
Page 63 and 64: Indications for SurgicalTreatmentCh
Page 65: ERCP
Page 69 and 70: Chronic PancreatitisSurgical Manage
Page 71: Chronic PancreatitisDuctal Drainage
Page 77: Long-Term Outcome after Duct Draina
Page 83: Afferent Limb ReconstructionCommonH
Page 86 and 87: DPPHR
Page 88 and 89: Distal Pancreatic ResectionsNOT rec
Page 90: PancreatitisCharles M. Vollmer, Jr.
Page 93: Etiology of Acute Pancreatitis• P
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Staging Laparoscopy with Laparoscopic Ultrasonography ...

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