Flavio Antonio de Sa Ribeiro
Keynote: Surgery Curr Res
Total pancreatectomy is an operation that has been associated in the past with high morbity and mortality, high operative problems and a very difficult outcome. The main concern with this operation was related to potential problems with unstable diabetes, in especially hypoglycemia. Nowadays, TP increase in importance to the treatment of pancreatic neoplasm with multifocal disease, for pre-malignant tumors such as IPMN or, in cases when the resection margin at the pancreatic neck shows compromise by the neoplasm. In our experience TP should be considered in selective cases for treatment of pancreatic neoplasm if it allows complete clearance. The procedure does not appear to be associated with significant increase in serious complication compared with pancreaticoduodenectomy (Wipple procedure).
Flavio Antonio de Sa Ribeiro is Headman Surgery Professor of Universidade Fundacao Serra dos Orgaos, Research Headman and Surgeon of Hospital Federal de Bonsucesso/Ministerio da Saude-Governo Federal. He is Entitled Member of Colegio Brasileiro de Cirurgioes, Doctorated in Surgery by the Universidade Federal do Rio de Janeiro, Associated Surgery Professor of Universidade Gama Filho.
