The first published report of a successful pancreaticoduodenectomy was published by
Allen O. Whipple in 1935 [
[1]
]. Whipple reported 3 patients who underwent a 2-stage procedure with pancreatic duct
ligation: one patient died in the perioperative period; another died 8 months later
from cholangitis, and the last from metastases after 28 months. This initial report
was followed by a series describing a single-stage procedure [
[2]
], the fundamentals of which we recognize today as the Whipple procedure. These fundamentals
included (1) resection and reconstruction in one stage; (2) avoidance of cholecystoenterostomy
by implantation of the bile duct into the jejunum, and (3) implantation of the pancreatic
duct into the jejunum. Following the modification of pylorus preservation by Traverso
and Longmire [
[3]
], the technical aspects of pancreaticoduodenectomy have remained essentially unchanged
since Whipple described the procedure in 1935.To read this article in full you will need to make a payment
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References
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© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
