The patient's duodenum has two injuries, one cut in the middle of the duodenum and one cut at the head of the pancreas.
If it needs to be removed, it would involve completely excising the entire duodenum along with the head of the pancreas.
And a pancreaticoduodenectomy is a complex and high-risk surgery.
The pancreaticoduodenectomy includes three main steps: exploration, resection, and reconstruction of the digestive tract.
Exploration is the necessary step to determine whether resection is possible, resection involves removing the head of the pancreas, pyloric antrum, entire duodenum, the lower part of the common bile duct, and regional lymph nodes.
Reconstruction is anastomosing the common bile duct, pancreatic duct, and stomach with the jejunum.
However, once the duodenum is removed, it greatly impacts the patient's postoperative recovery.
Or rather, the patient might have to live with a bag, leading to a poor quality of life.
"Director Qin, does it need to be removed?"
