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Complications - Pancreaticoduodenectomy, pylorus-preserving, partial (OP according to Traverso)

  1. Intraoperative Complications

    • Bleeding
      e.g., portal vein injury
    • Pancreatitis
      very fragile, soft pancreas or assistance error → pressure damage from hook
    • Vascular Anatomy
      atypical right hepatic artery, unrecognized Dunbar syndrome! (compression syndrome of the trunk by the arcuate ligament) → gastroduodenal artery must be severed → division of the arcuate ligament
      NOTE: Electrocoagulation at the common hepatic duct (ischemic damage → later insufficiency)
Postoperative Complications

Anastomotic insufficiency of the pancreatico-jejunostomy (4-20%)Anastomotic insufficiency of the he

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