Preliminary experience with the hanging maneuver for pancreaticoduodenectomy

P. Pessaux (1) , E. Rosso (1) , F. Panaro (1) , E. Marzano (1) , E. Oussoultzoglou (1) , P. Bachellier (1) , D. Jaeck (1)

1 Hôpital de Hautepierre [Strasbourg]

Malignant periampullary tumours often invade retroperitoneal peripancreatic tissues and a positive resection margin following pancreaticoduodenectomy (PD) is associated with a poor survival. The margin most frequently invaded is the retroperitoneal margin (RM). Among the different steps of PD one of the most difficult and less codified is the resection of the RM with high risk of bleeding. We have developed a surgical technique – “Hanging maneuver” – which allows at the same time a standardization of this step, a complete resection of the RM, and an optimal control of bleeding.

Mots clés: Medicine

P. Pessaux, E. Rosso, F. Panaro, E. Marzano, E. Oussoultzoglou, et al.. Preliminary experience with the hanging maneuver for pancreaticoduodenectomy. EJSO - European Journal of Surgical Oncology, 2009, 35 (9), pp.1006. ⟨10.1016/j.ejso.2009.04.009⟩. ⟨hal-00556301⟩