Total Pancreatoduodenectomy

Abstract

Total pancreatectomy is an operation which can be used for both benign and malignant diseases of the pancreas. Because of the resulting complete exocrine and endocrine insufficiency, this surgery is reserved for patients who have failed medical management or are not candidates for less extensive surgery. Although historically associated with high risk, recent reports have demonstrated that modern post-operative treatment regimens can result in morbidity and mortality rates comparable with those of partial pancreatectomy patients. This chapter concentrates on the additional features necessary to complete the pancreatic resection and should be read in conjunction with Chap. 96.