Article

Pancreatectomías

EMC - Técnicas Quirúrgicas - Aparato Digestivo 01/2011; 27(4):1–3. DOI: 10.1016/S1282-9129(11)71186-2

ABSTRACT Las pancreatectomías son resecciones parciales o totales del páncreas que están indicadas en circunstancias diversas, como carcinomas y lesiones benignas, tumorales o inflamatorias. Debido a esta variedad de indicaciones, existe una serie de técnicas de pancreatectomías, a las que pueden asociarse las enucleaciones pancreáticas (ablación de un tumor sin resección parenquimatosa adyacente) y las ampulectomías (resección limitada del aparato ampular). El tipo de pancreatectomía se escoge sobre todo dependiendo de la localización de la lesión, su carácter benigno o maligno y la posible coexistencia de fenómenos inflamatorios. La mayor parte de las pancreatectomías exponen a una morbimortalidad significativa que ha justificado el desarrollo de variantes técnicas destinadas a disminuir su gravedad y que debe sopesarse con el pronóstico de la enfermedad subyacente.

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