All lymph nodes within the gastrinoma triangle are excised in a systematic fashion for pathologic analysis starting with a lymphadenectomy of the hepatoduodenal ligament. Lymph nodes from the porta hepatis to the duodenum are excised, labeled, and sent for pathologic analysis, as are nodes from both the anterior and posterior border of the head of the pancreas.
Neuroendocrine neoplasms identified within the head of the pancreas are enucleated with palpation or via ultrasonographic control. When a tumor is enucleated from the head of the pancreas, 5 ml of fibrin glue is applied to the site of enucleation, and a closed suction drain is placed nearby.
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For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.