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Vol. 113 No. 4, April 1978 |
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PAPERS READ BEFORE THE EIGHTY-FIFTH ANNUAL MEETING OF THE WESTERN SURGICAL ASSOCIATION, LAS VEGAS, NOV 13-16, 1977 |
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Inframesocolic Transduodenal Approach to the Distal Biliary-Pancreatic Ductal System
Mario R. Villalba, MD;
Robert J. Lucas, MD
Arch Surg. 1978;113(4):496-499.
Abstract
• The usefulness of the inframesocolic transduodenal approach to the distal biliary system in patients in whom numerous previous procedures had been performed was evaluated. First, the feasibility of the technique was ascertained by anatomic study. Ten anatomic dissections were performed during routine postmortem examinations. This proved that the duodenum, ampulla of Vater, distal common duct, and head of the pancreas could be adequately exposed via the inframesocolic approach and that it was reasonable to use the procedure clinically. This approach has been used successfully in five cases.
It was found that (1) the inframesocolic approach to the duodenum and distal biliary system is useful, particularly in those patients requiring second operations in the right upper quadrant; and (2) the approach allows ready access to the area through virgin territory and has distinct advantages in exposure, operative time, and information available.
(Arch Surg 113:496-499, 1978)
Author Affiliations
From the Department of Surgery, William Beaumont Hospital, Royal Oak, Mich.
Footnotes
Read before the 85th annual meeting of the Western Surgical Association, Las Vegas, Nov 16, 1977.
Reprint requests to Department of Surgery, William Beaumont Hospital, 3601 W 13-Mile Rd, Royal Oak, MI 48072 (Dr Villalba).
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