The Practitioner Volume 81

The Practitioner Volume 81

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ...According to Sauve (Rev. de Clair, 1908, XXVIIL, Nos. 2 and 3), pancreatectomy should be limited to ablation of the head. He considers that duodenopancreatectomy answers all requirements, even for cancer of the head of the pancreas, and it has been successfully performed by several surgeons. The operative technique of pancreatectomy has been worked out upon the cadaver by Desjardins (Rev. de Chin, 1907, XXVII., 945). He says that, hitherto, the pancreas has been regarded with some reserve by surgeons; and this for several reasons. First there is the deep situation of the gland. Nowadays it should not be considered so inaccessible, thanks to the advantages of Robson's or Kehr's incisions, and the use of the pillow as for gall-duct operations. Another reason for respecting the pancreas depends on the number and importance of its vascular connections. Other reasons against the operation were the accidents following pancreatectomy, and the length of time required to re-establish the continuity of the biliary and intestinal tracts. Desjardins has collected 30 cases of pancreatectomy from the literature; there were 16 recoveries and 14 deaths. Two of the cases were total pancreatectomies, both recovered. The remainder were partial pancreatectomies; resection of the tail, 7 recoveries and 3 deaths; partial of the head, 7 recoveries and 9 deaths; total extirpation of the head, 2 fatal cases. He does not think that total pancreatectomy is justified by physiology, in spite of the two successful cases. With regard to partial pancreatectomy, it is first necessary to decide whether the duodenum should also be resected. Codivilla is the only surgeon, who, operating on the pancreas, has performed a duodenectomy. Desjardins believes that the principal...
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Product details

  • Paperback | 334 pages
  • 189 x 246 x 18mm | 599g
  • United States
  • English
  • black & white illustrations
  • 1236971272
  • 9781236971272