Tricks of the Senior Surgeon

■ It may be difficult to palpate the duct, and various maneuvers may help.

■ Kocherize the duodenum and palpate carefully the head of the pancreas.

■ Perform intraoperative ultrasonography.

■ Choose an area in the mid body of the pancreas and perform a vertical incision in hope of bisecting the duct.

■ Once some incision has been made in the parenchyma, the surgeon may safely massage the tail and proximal body of the pancreas in hope of expressing pancreatic juice.

■ Avoid trying to access the pancreatic duct directly over the superior mesenteric vein/portal vein/splenic vein junction - too deep an incision may lead to serious bleeding.

■ Concentrate on getting a good size match between the ductal incision and the jejunal incision; mismatches in size can lead to pancreatic leak.

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How to Stay Young

How to Stay Young

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.

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