Pancreatic injuries, despite their relative infrequency, are regarded with great respect among experienced trauma surgeons because of their significant associated mortality and morbidity. Pancreatic injuries occur in up to 3% of patients with significant blunt abdominal trauma and a slightly…
The introduction of laparoscopy in the 1980s has revolutionized the field of complex abdominal surgery. Once highly morbid procedures requiring open exposure and prolonged recovery are now accomplished through minimally invasive techniques with comparable outcomes. In 1994 Gagner and Pomp…
Pancreatic resection and reconstruction remain a therapeutic challenge to surgeons treating neoplastic disease of the pancreas, distal common bile duct, ampulla of Vater, and proximal duodenum. Despite appreciable improvements in perioperative, postoperative, and intraoperative techniques, morbidity for these procedures remains…
Although pancreatic ductal adenocarcinomas account for approximately 85% of all pancreatic tumors, epithelial tumors of the pancreas are increasingly being identified due to the frequent and improved quality of abdominal imaging modalities, such as computed tomography (CT). Solid pancreatic masses…
Over the past century, clinicians have been challenged by the more frequent identification of primary pancreatic cystic neoplasms (PCNs). Increased use of cross-sectional imaging studies, such as computed tomography and magnetic resonance imaging (MRI), have led to a sustained increased…
The overall prevalence and incidence of pancreatic neuroendocrine tumors (PNETs) is low, approximately 1 to 6 per million population, but it is increasing. Gastrinoma and insulinoma are the two most common functional NETs. Most PNETs are malignant, except insulinomas, which…
Pancreatic and periampullary tumors include a diverse group of malignant neoplasms that arise in the pancreas or at or near the ampulla of Vater. These neoplasms commonly include adenocarcinomas of the pancreas (pancreatic ductal adenocarcinomas [PDACs]), duodenum, distant common bile…
Cross-sectional imaging modalities such as computed tomography (CT), magnetic resonance imaging (MRI), and ultrasonography are commonly used for diagnosis of pancreatic diseases. CT has been the most commonly used technique because it can provide high-resolution images of the pancreas and…
Acute pancreatitis (AP) and chronic pancreatitis (CP) are dynamic inflammatory conditions that can result in local complications necessitating invasive treatment. Although AP and CP were previously considered and managed as distinct clinical entities, advances in experimental pancreatitis models, improved clinical…
Pancreatic and Peripancreatic Fluid Collections Pancreatitis often results in sequelae of pseudocyst formation or other complications. The consensus guidelines of the revised Atlanta classification of pancreatitis describe various features of acute pancreatitis, distinguishing between interstitial edematous pancreatitis and the more…