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dc.creatorLogarajah S.I.
dc.creatorJackson T.
dc.creatorDarwish M.
dc.creatorNagatomo K.
dc.creatorCho E.
dc.creatorOsman H.
dc.creatorJeyarajah D.R.
dc.date2022
dc.date.accessioned2022-09-28T17:57:03Z
dc.date.available2022-09-28T17:57:03Z
dc.identifier.urihttps://doi.org/10.1016/j.sopen.2021.11.007
dc.identifier.urihttps://repository.tcu.edu/handle/116099117/55832
dc.description.abstractBackground: The Whipple procedure in its current form owes its evolution to the groundbreaking and innovative work of giants in the field of surgery. From being a multistep procedure with high morbidity and mortality, it is now ubiquitously performed in a single setting, often offered via minimally invasive approaches. Training to perform this procedure is an arduous task, and different training paradigms vary significantly. Objectives/Methods: The purpose of this paper is to share a standard method by which the surgeon can perform the Whipple procedure in a systematic manner. Using illustrations to make the steps clearer, the authors will postulate that an improvement in mean operative time can be realistically achieved by most pancreatic surgeons. The focus is also on presenting this complex procedure as reproducible and teachable techniques for trainees. Conclusion: This illustrated review of the Whipple procedure as performed at our institution is intended to help facilitate a streamlined and stepwise progression through what is undoubtedly a challenging surgical procedure. Although the procedure described will not apply to all Whipple operations given the heterogeneity in anatomy and circumstances, our hope is that this will lead to a more efficient procedure and decreased operating room time and costs as well as provide a framework to teach and measure technical progress for surgical trainees. © 2021
dc.languageen
dc.publisherElsevier
dc.rightsAuthors
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceSurgery Open Science
dc.subjectbile ducten_US
dc.subjectcancer surgeryen_US
dc.subjectgastroduodenal arteryen_US
dc.subjectgastroepiploic veinen_US
dc.subjectgenetic heterogeneityen_US
dc.subjecthealth care costen_US
dc.subjecthepatic arteryen_US
dc.subjecthumanen_US
dc.subjectintraoperative perioden_US
dc.subjectoperation durationen_US
dc.subjectpancreasen_US
dc.subjectpancreaticoduodenectomyen_US
dc.subjectpatient righten_US
dc.subjectperioperative perioden_US
dc.subjectstomachen_US
dc.subjectstudenten_US
dc.subjectsuperior mesenteric arteryen_US
dc.subjectsuperior mesenteric veinen_US
dc.subjectsurgeonen_US
dc.subjectveinen_US
dc.titleWhipple pancreatoduodenectomy: A technical illustration
dc.typeArticle
dc.rights.licenseCC BY-NC-ND 4.0
local.collegeBurnett School of Medicine
local.departmentBurnett School of Medicine
local.personsOsman (SOM), Jeyarajah (SOM)


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