pancreaticoduodenectomy
Pronunciation: pan-kree-at-ih-koe-doo-oh-den-EK-toe-me
Surgical removal of the pancreatic head, duodenum, and surrounding structures.
Full Definition
A complex surgical procedure involving removal of the pancreatic head, entire duodenum, distal stomach, gallbladder, and distal bile duct, followed by reconstruction of digestive continuity. In pediatric patients, this procedure is rarely performed but may be indicated for certain tumors, severe trauma, or congenital anomalies affecting the pancreaticoduodenal region. The procedure requires extensive reconstruction including pancreaticojejunostomy, hepaticojejunostomy, and gastrojejunostomy.
Usage
Usage note: In pediatric contexts, always specify age and indication as this procedure is extremely rare in children.
In Context
- "Pediatric pancreaticoduodenectomy requires specialized expertise due to the technical complexity and rarity of indications." — Surgical review article
- "The patient developed pancreatic fistula following pancreaticoduodenectomy, requiring prolonged conservative management." — Complication report