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Biomedical subjects

V Pegan

Publications and source records attributed to V Pegan.

4 recordsLinked to original sources

Extended excision of the ampulla of Vater--a new operative technique for elderly patients.

This report describes a 72-year-old female patient treated by extended excision of recurrent ampullary carcinoma. The procedure comprised pylorus-preserving resection of the descending segment of the duodenum, and excision of a large portion of the pancreatic head using an ultrasonic surgical dissector. Restoration of food transit, pancreatico-jejunal and choledocho-jejunal anastomosis by a Roux-en-Y reconstruction was readily accomplished. The operation, which has the advantage of being more radical and accurate than the standard excision of the ampulla of Vater, and less time-consuming and mutilating than the Whipple procedure, may be indicated in elderly patients with ampullary carcinoma.

Age Factors

[Pancreatic lesions].

The rate of lesions of pancreas is on the increase in these latter years. With these lesions very different therapeutical methods are applied. Some surgeons give full preference to the resection with anastomosis, the others prefer one or two anastomoses without the resection and the rest of them the resection without anastomosis. Successful treatment of the damaged pancreas dependens to a high degree on the proper diagnosis, on the appropriate primary therapy, which hampers the development of the acute pancreatitis and on the rational operative proceedings.

Abdominal Injuries