Author/Editor		Gadžijev, E; Pegan, V
Title		Extended excision of the ampulla of Vater - a new operative technique for elderly patients
Type		članek
Source		Hepatogastroenterology
Vol. and No.		Letnik 39, št. 5
Publication year		1992
Volume		str. 475-7
Language		eng
Abstract		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.
Descriptors		VATER'S AMPULLA DUODENAL NEOPLASMS DUODENAL NEOPLASMS AGED