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Figure 1 | Trials

Figure 1

From: ChroPac-Trial: Duodenum-preserving pancreatic head resection versus pancreatoduodenectomy for chronic pancreatitis. Trial protocol of a randomised controlled multicentre trial

Figure 1

Techniques of pancreatoduodenectomy and duodenum-preserving pancreatic head resection (DPPHR). (A) Classical Whipple procedure after resection and reconstruction with pancreaticojejunostomy, bilio-digestive anastomosis and gastrojejunostomy. (B) DPPHR according to Beger: Dissection of the pancreas above the portal vein, escavation of the pancreatic head and incision of the common bile duct. Reconstruction s accomplished by two pancreaticojejunostomies (corpus and pancreatic head). (C) DPPHR, Berne modification: Excavation of the pancreatic head and incision of the common bile duct without dissection of the pancreas above the portal vein. Reconstruction is accomplished by one single side-to-side pancreatcojejunostomy. (D) DPPHR, Frey modification: circumscripted excavation of the pancreatic head and longitudinal incision of the pancreatic duct. Reconstruction is accomplished by pancreaticojejunostomy.

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