Pancreatic head excavation for tissue diagnosis may reduce unnecessary pancreaticoduodenectomies in the setting of chronic pancreatitis

Asbun, 2014, When to perform a pancreatoduodenectomy in the absence of positive histology? A consensus statement by the International Study Group of Pancreatic Surgery, Surgery, 155, 887, 10.1016/j.surg.2013.12.032 Barone, 2008, Pancreaticoduodenectomy for presumed pancreatic cancer, Surg Oncol, 17, 139, 10.1016/j.suronc.2007.12.004 Gerritsen, 2014, Preoperative characteristics of patients with presumed pancreatic cancer but ultimately benign disease: a multicenter series of 344 pancreatoduodenectomies, Ann Surg Oncol, 21, 3999, 10.1245/s10434-014-3810-7 Garcea, 2012, Is intraoperative confirmation of malignancy during pancreaticoduodenectomy mandatory?, J Gastrointest Surg, 16, 370, 10.1007/s11605-011-1728-y Hernandez-Jover, 2011, Pancreatoduodenal junction: review of anatomy and pathologic conditions, J Gastrointest Surg, 15, 1269, 10.1007/s11605-011-1443-8 Camp, 2004, Blind Whipple resections for periampullary and pancreatic lesions, Am Surg, 70, 6, 10.1177/000313480407000102 Conrad, 2013, Preoperative evaluation and management of the pancreatic head mass, J Surg Oncol, 107, 23, 10.1002/jso.23165 Zamboni, 2009, Nonneoplastic mimickers of pancreatic neoplasms, Arch Pathol Lab Med, 133, 439, 10.5858/133.3.439 Merdrignac, 2014, Pancreatic head cancer in patients with chronic pancreatitis, Hepatobiliary Pancreat Dis Int, 13, 192, 10.1016/S1499-3872(14)60030-8 Andersen, 2010, The evolution of the surgical treatment of chronic pancreatitis, Ann Surg, 251, 18, 10.1097/SLA.0b013e3181ae3471 Farkas, 2003, Organ-preserving pancreatic head resection in chronic pancreatitis, Br J Surg, 90, 29, 10.1002/bjs.4016 Jimenez, 2003, Pylorus-preserving pancreaticoduodenectomy in the treatment of chronic pancreatitis, World J Surg, 27, 1211, 10.1007/s00268-003-7240-0 Sakorafas, 2000, Pancreatoduodenectomy for chronic pancreatitis: long-term results in 105 patients, Arch Surg, 135, 517, 10.1001/archsurg.135.5.517 Rebibo, 2013, Frey procedure for the treatment of chronic pancreatitis associated with common bile duct stricture, Hepatobiliary Pancreat Dis Int, 12, 637, 10.1016/S1499-3872(13)60100-9 Catalano, 2009, EUS-based criteria for the diagnosis of chronic pancreatitis: the Rosemont classification, Gastrointest Endosc, 69, 1251, 10.1016/j.gie.2008.07.043 Gloor, 2001, A modified technique of the Beger and Frey procedure in patients with chronic pancreatitis, Dig Surg, 18, 21, 10.1159/000050092 Ho, 2001, The Frey procedure: local resection of pancreatic head combined with lateral pancreaticojejunostomy, Arch Surg, 136, 1353, 10.1001/archsurg.136.12.1353 Cioc, 2002, Frozen section diagnosis of pancreatic lesions, Arch Pathol Lab Med, 126, 1169, 10.5858/2002-126-1169-FSDOPL Bassi, 2005, Postoperative pancreatic fistula: an international study group (ISGPF) definition, Surgery, 138, 8, 10.1016/j.surg.2005.05.001 Wente, 2007, Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition, Surgery, 142, 20, 10.1016/j.surg.2007.02.001 Wente, 2007, Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS), Surgery, 142, 761, 10.1016/j.surg.2007.05.005 DeOliveira, 2006, Assessment of complications after pancreatic surgery: a novel grading system applied to 633 patients undergoing pancreaticoduodenectomy, Ann Surg, 244, 931, 10.1097/01.sla.0000246856.03918.9a van Gulik, 1997, Incidence and clinical findings of benign, inflammatory disease in patients resected for presumed pancreatic head cancer, Gastrointest Endosc, 46, 417, 10.1016/S0016-5107(97)70034-8 Strate, 2005, Long-term follow-up of a randomized trial comparing the beger and frey procedures for patients suffering from chronic pancreatitis, Ann Surg, 241, 591, 10.1097/01.sla.0000157268.78543.03 Pulay, 2000, Pancreatic head mass: what can be done? Classification: the clinical point of view, JOP, 1, 85 Smith, 1994, Radical pancreatoduodenectomy for misdiagnosed pancreatic mass, Br J Surg, 81, 585, 10.1002/bjs.1800810435 Wittel, 2015, Retrospective analyses of trends in pancreatic surgery: indications, operative techniques, and postoperative outcome of 1,120 pancreatic resections, World J Surg Oncol, 13, 102, 10.1186/s12957-015-0525-6 Okano, 2015, Postoperative infectious complications after pancreatic resection, Br J Surg, 102, 1551, 10.1002/bjs.9919 Nigri, 2011, Metaanalysis of trials comparing minimally invasive and open distal pancreatectomies, Surg Endosc, 25, 1642, 10.1007/s00464-010-1456-5 Sperti, 2010, Parenchyma-sparing pancreatectomies for benign or borderline tumors of the pancreas, World J Gastrointest Oncol, 2, 272, 10.4251/wjgo.v2.i6.272 Aspelund, 2005, Improved outcomes for benign disease with limited pancreatic head resection, J Gastrointest Surg, 9, 400, 10.1016/j.gassur.2004.08.015 Müller, 2008, Perioperative and follow-up results after central pancreatic head resection (Berne technique) in a consecutive series of patients with chronic pancreatitis, Am J Surg, 196, 364, 10.1016/j.amjsurg.2007.08.065 Bachmann, 2013, Is the Whipple procedure harmful for long-term outcome in treatment of chronic pancreatitis? 15-years follow-up comparing the outcome after pylorus-preserving pancreatoduodenectomy and Frey procedure in chronic pancreatitis, Ann Surg, 258, 815, 10.1097/SLA.0b013e3182a655a8 Yin, 2012, Surgical treatment strategies in chronic pancreatitis: a meta-analysis, Arch Surg, 147, 961, 10.1001/archsurg.2012.2005 Kooby, 2014, Value of intraoperative neck margin analysis during Whipple for pancreatic adenocarcinoma: a multicenter analysis of 1399 patients, Ann Surg, 260, 494, 10.1097/SLA.0000000000000890 Delpero, 2014, Pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: a French multicentre prospective evaluation of resection margins in 150 evaluable specimens, HPB (Oxford), 16, 20, 10.1111/hpb.12061 Nelson, 2013, Examining the accuracy and clinical usefulness of intraoperative frozen section analysis in the management of pancreatic lesions, Am J Surg, 205, 613, 10.1016/j.amjsurg.2013.01.015 Doucas, 2006, Frozen section diagnosis of pancreatic malignancy: a sensitive diagnostic technique, Pancreatology, 6, 210, 10.1159/000091958 Farkas, 2010, Ten-year experience with duodenum and organ-preserving pancreatic head resection (Büchler-Farkas modification) in the surgical treatment of chronic pancreatitis, Pancreas, 39, 1082, 10.1097/MPA.0b013e3181d3727b Andersen, 2004, Pancreatic head excavation: a variation on the theme of duodenum-preserving pancreatic head resection, Arch Surg, 139, 375, 10.1001/archsurg.139.4.375