0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Abstract. were classified as having periampullary adenocarcinoma. 815 contain annotation back-referencesC25. 3 may differ. The Whipple procedure (also called a pancreaticoduodenectomy) is a surgery to remove a cancerous tumor from the head (right side) of your pancreas to stop it from spreading to other organs (metastasizing). In these specific years, the proportion of patients undergoing PD in a medium- or high-volume centre increased from 52·9 to 91·2 per cent (P < 0·001). 59). 9 - other international versions of ICD-10 B15. Chapter 4 - Queensland Health · Chapter 4 Pancreaticoduodenectomy. We identified patients undergoing pancreaticoduodenectomy using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), code 52. Pancreaticoduodenectomy (PD) is a mainstay in the management of periampullary tumors. Patients were identified from the. 3, C25. 4-11. 41. The most common complications encountered are post. MeSH. For a surgical procedure that is extremely complex, the history behind it is no less worthwhile. Pancreaticoduodenectomy (PD) is a standard operation for the treatment of periampullary cancer and some benign diseases. Background. 52. 7 - Radical pancreaticoduodenectomy. Logistic regression models were constructed using the 2014. Chen K, Zhou Y, Jin W, et al. 8% in 2004–2007 ( Figure 2, p<0. A pancreaticoduodenectomy, also known as a Whipple procedure, is a major surgical operation most often performed to remove cancerous tumours from the head of the pancreas. 1 may differ. 2018. Indications for su rgery included pancreatic head tumor (n = 18), ampullary carcinoma (n =8), bile duct carcinoma (n = 22), gallbladder carcinoma (n = 2), and trauma (n = 1). This procedure is associated with significant. The pancreaticoduodenectomy (Whipple Procedure) is the most commonly performed surgery to remove pancreatic tumors. 2], PC [ICD-9 157. 7915434. 8%) in the PrPD group had DGE, showing a significant difference (p < 0. 2018 Apr;52:383-387. This is the American ICD-10-CM version of Z48. Pancreaticoduodenectomy (i. 53 Radical subtotal pancreatectomy convert 52. The objective of this study is to. 1111/j. Since the first PD was reported in the 1930s, 1 the operative mortality rate remained between 20% and 40% in the following 50 years. Reconstruction was with:Pancreaticoduodenectomy for side-branch IPMNs can be performed safely. The 2024 edition of ICD-10-CM C44. Since the concomitant injuries were coded using ICD-9 codes, it is unknown if the IVC injuries were simply radiographic evidence of injury to the vessel, an injury identified intraoperatively or an injury with. Trauma pancreaticoduodenectomy (TP) remains a challenging operation with morbidity and mortality rates as high as 80% and 50%. The 2024 edition of ICD-10-CM Z90. The spleen is removed because of shared blood vessels with the pancreas. The conventional pancreaticoduodenectomy, often referred to as a classic Whipple, includes a distal gastrectomy and resection of the pancreatic head, common hepatic duct (CHD), gallbladder, duodenum, and first portion of the jejunum. 49 became effective on October 1, 2023. However, due to the complex anatomical relationship around the pancreas, the softness of the pancreas, the strong. The 2024 edition of ICD-10-CM B15. [2] Due to the shared. We suggest researchers consider such characteristics in defining. Only pa. The Centers for. Superior pancreaticoduodenal artery. 6 Total pancreatectomy convert 52. Answer: For encounters with your surgeon following the Whipple procedure, you’ll need to code the cancer as C25. 8 may differ. This retrospective multicentric study attempts to elucidate the risk factors and complications of a PF in a large cohort of patients undergoing a PD for. Since its symptoms usually appear in childhood, most of the adult cases are detected unexpectedly with other diseases. 6% and increases to 16. 53 to ICD-10-PCS; 52. The effects of neoadjuvant therapy on 30 days' outcomes in patients with pancreatic cancer are not well defined in the literature. 6), and. 31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. PDAC is an aggressive and difficult malignancy to treat. Free 2006-2011 ICD-9-CM Codes. (Superior pancreaticoduodenal labeled at center left. 7 to ICD-10-PCS; 52. 1016/j. 0 to 3. - pancreaticoduodenectomy; of 14 /14. Epub 2011 Mar 31. The 2024 edition of ICD-10-CM C22. To assign the correct ICD-10-CM code, you must know where the malignant neoplasm is located in the pancreas: C25 Malignant neoplasm of pancreas. Laparoscopic pancreaticoduodenectomy for periampullary tumors: lessons learned from 500 consecutive patients in a single center. Z48. What is the procedure code 19303? Mastectomy,. 0 (Malignant neoplasm of head of pancreas). The purpose of this population-based study was to determine the change of glucose metabolism in patients undergoing pancreaticoduodenectomy (PD). K90. However, unlike -CM, ICD-10-PCS requires the use of laterality because “unspecified” is not an anatomical option. Notice that you don’t distinguish 48140 and 48145 based on. 9: Malignant neoplasm of pancreas: C7A. 8 became effective on October 1, 2023. Author links open overlay panel Rajesh S Shinde a, Rajgopal Acharya b,. [1,2,3,4,5] This procedure is usually done via classic or pyloric preservation that stomach antrum is usually resected. To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD. The following code(s) above S42. Modifications of cPD have been reported, including subtotal stomach-preserving pancreaticoduodenectomy and pylorus- resecting pancreaticoduodenectomy [2, 3]. Acquired absence of organs, not elsewhere classified (Z90) Acquired absence of pancreas (Z90. Search All ICD-10 Toggle Dropdown. 28, No. Total Pancreatectomy (“TP”) - This involves removing the entire pancreas and reconstructing the gastrointestinal tract. Summary and recommendation: Patients should receive dedicated preoperative counseling, preferably with multimedia informational materials rather than only spoken information with or without an educational pamphlet. This was a retrospective cohort study using the AHRQ HCUP SID for California from 2009 to 2011 to identify patients undergoing pancreaticoduodenectomy (ICD-9-CM procedure codes: 52. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Abstract. The 2024 edition of ICD-10-CM E89. The Whipple procedure, or pancreaticoduodenectomy, is the most common surgery to remove tumors in the pancreas. B15. K74. Author: tranque. Applicable To. Background The effect of minimally invasive pancreaticoduodenectomy (MIPD), including laparoscopic and robotic pancreaticoduodenectomy (LPD and RPD, respectively), on compliance and time to return to intended oncologic therapy (RIOT) for pancreatic ductal adenocarcinoma (PDAC) remains unknown. From 2005 to 2017, 188 pancreaticoduodenectomies (pancreatic ductal adenocarcinoma n =. ijsu. 52). 520 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Pancreaticoduodenectomy is a classic surgical procedure for the treatment of benign and malignant tumors around the head of the pancreas, the lower common bile duct, the duodenum, and the ampulla (). Methods: Using information from the Medicare claims database, we performed a. 93 to ICD-10-PCS. Methods: This retrospective study was conducted on 116 patients who underwent pancreaticoduodenectomy or a similar procedure and had no clinical evidence of. 7 Radical pancreaticoduodenectomy convert 52. The procedure is one of the most complicated operations in hepatobiliary and pancreatic surgery, involving the removal of the pancreas, duodenum, and biliary tract and the reconstruction of the. 09 became effective on October 1, 2023. 8 contain annotation back-referencesPancreaticoduodenectomy (PD) is one of the most challenging and complex surgeries in the abdominal surgery that carries a high rate of major complications, among which delayed gastric emptying (DGE) remains one of the most commonly observed complications with an incidence ranging from 15–35% [1,2,3,4,5]. · ICD 10 code WHO description C25. 7. Coding Robot-assisted Surgery. The viability and safety of LPR for PDAC needs to be understood better. 1], and duodenal cancer [ICD-9 152. In 25 of 42 patients, unenhanced CT scans were available approximately 12 months after pancreatoduodenectomy (average, 12. 80. 09 became effective on October 1, 2023. A patient with malignant neoplasm underwent an open pancreatico-duodenectomy, cholecystectomy and right hemi-colectomy. Pancreatic adenocarcinoma is the third leading cause of cancer death in the United States. 8: Neuroendocrine tumors: D01. 59), pancreaticoduodenectomy (ICD-9 codes 52. 21, 863. 2 June 2013 P. 4)” so you should also report: Z90. 1%; P < 0. The completeness of resection resulting from pancreaticoduodenectomy (PD) for pancreatic adenocarcinoma, while not part of the TNM staging system, has powerful prognostic significance for recurrence and survival. Neoadjuvant therapy (NAT) has been seen as a possible treatment option for resectable, borderline resectable and locally advanced PaC. 410 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. These 2020 ICD-10-PCS codes are to be used for discharges occurring. 1], and duodenal cancer [ICD-9 152. ICD-10-CM is a billable/specific code that can be used for reimbursement purposes to indicate a diagnosis. 80 Pancreatic transplant, not otherwise specified convert 52. The incidence of pancreatic ductal adenocarcinoma (PDAC) has been on the rise in recent years; however, its clinical diagnosis and treatment remain challenging. One patient with a high-grade malignant neoplasm died after 15. 58%) had pre-operative biliary drainage. 0–157. PMCID: PMC4616697. Large multicentre studies comparing postoperative outcomes in PD stratified by diagnosis are lacking. 5% now achieved in large centers. 8 months, the incidence of P-DM was 20. 041. K83. Since the NCDB does not have a variable which distinguishes between resectable and. In this operation, experience of the. 815 may differ. Despite the substantial improvement in mortality related to this operation, the morbidity is still as high as nearly 50% [ 1 – 3 ]. definitions - Pancreaticoduodenectomy report a problem. Introduction Despite its rising adoption, the use of minimally invasive (MIS) pancreaticoduodenectomy (PD) in the treatment of pancreatic cancer remains controversial. Multimodal therapy is now a cornerstone of the management of pancreatic ductal adenocarcinoma (PDAC). ICD: International Classification of Diseases; NIS: Nationwide Inpatient Sample INTRODUCTION Elective pancreaticoduodenectomy in patients with primary pancreatic cancer provides the only hope for long-term cure in patients even though the 5- year survival is less than 10% even when curative resection are performed [ 1 , 2 ]. 49 may differ. Sep 21, 2010. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 7, 52. Find a Treatment Center. 09 may differ. This is the American ICD-10-CM version of K91. The patient undergoes neoadjuvant chemoradiation and a. 49 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It can be difficult to distinguish a primary ampullary carcinoma from other periampullary tumors preoperatively. 53, 52. Core tip: Stricture of pancraticojejunostomy is a late and potentially serious complication after pancreaticoduodenectomy. The overall incidence of DGE was 23. Background Readmissions are a common complication after pancreaticoduodenectomy and are increasingly being used as a performance metric affecting quality assessment, public reporting, and reimbursement. 00 – C7B. Applicable To. Although. Pancreaticoduodenectomy (PD) is one of the greatest challenges in gastrointestinal surgery, with mortality < 5% in high-volume centers, and even 50% of perioperative complications [ 1, 2 ]. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A pancreaticoduodenectomy, also known as a Whipple procedure, is a major surgical operation most often performed to remove cancerous tumours from the head of the pancreas. Pancreatic exocrine insufficiency (PEI) may be caused or exacerbated by surgery and remains underdiagnosed and undertreated. 9 became effective on October 1, 2023. The National Center for Health Statistics (NCHS) received permission from the World Health Organization (WHO), the body responsible for publishing the International Classification of Diseases to create the ICD-10-PCS as a. D33. The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. Surg Endosc 2020; 34 :1948-58. The preoperative selection, the intraoperative skill and, above all, the postoperative care of patients undergoing. Obstructive jaundice occurs following cancer of the pancreas, duodenum, and ampulla of Vater. ICD-10 codes for NET were identified in C16. doi: 10. Pancreatic fistula after a pancreaticoduodenectomy for ductal adenocarcinoma and its association with morbidity: a multicentre study of the French Surgical Association. 7. 51, 52. However, because pancreatic cancer usually presents late, only 10% to 20% of patients are candidates for pancreaticoduodenectomy [5, 6], a potentially lifesaving procedure that is associated with high morbidity and a disappointing 5-year survival rate of 10% to 29% [7–12]. 52, 52. 3% without major complications. 02) and 90-day (7. K91. 0%–1. Neoadjuvant chemotherapy (NAT),. Introduction. 0 - other international versions of ICD-10 C25. For comparison, 20 patients (39. 49. C22. L92. Postoperative pancreatic fistula is still the most dangerous complication of laparoscopic pancreaticoduodenectomy. What is the Pancreaticoduodenectomy ICD 10 code? Diagnosis code K90 for ICD-10-CM in 2021. This concept has been applied for pancreatic surgery since the first published guidelines in 2012. 0 became effective on October 1, 2023. 2 A number of reports have documented superior immediate results in centers that perform pancreaticoduodenectomy with high frequency, although the precise contribu- tion of surgical technique and surgeon experience to the observed volume-outcome relationship is not defined. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U. 8, and C25. This surgical procedure poses immense difficulties to the surgeons due to the complex as well as highly difficult intra-abdominal dissection and likewise the. Pancreaticoduodenectomy Intervention: Pancreaticoduodenectomy ICD-10 code: ICD-9 code: 52. 89 became effective on October 1, 2023. 7. Controversy remains regarding when the risk of surgical intervention outweighs its potential benefit, particularly for operations such as pancreaticoduodenectomy (PD), which is associated with increased postoperative. A definitive diagnosis requires a series of imaging scans, blood tests, and biopsies — as there is no single diagnostic test that can determine if someone has. 4% and no risk factor is identified. With ICD-9, the Whipple was coded as Radical Pancreaticoduodenectomy, better known as a 52. Assign the appropriate ICD-10-PCS code for this procedure. BackgroundLPD has been increasingly applied in the treatment of pancreatic and periampullary tumors. " Although first performed by the German surgeon Kausch in 1909, the operation was popularized by Dr. Laparoscopic surgery reduces surgical morbidity in various operations, however laparoscopic pancreaticoduodenectomy (LPD) is a relatively new procedure which lacks a clear consensus regarding its benefits (10-14). DOI: 10. 0]) 7 and inclusion in the Registry for Catastrophic Illness Patient Database, a subpart of the NHIRD. 410 [convert to ICD-9-CM] Acquired total absence of pancreas. 9 - other international versions of ICD-10 B15. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. As we hypothesized, cause of death between the early and late post-pancreaticoduodenectomy patients differs significantly. Symptoms are inconsistent but postprandial abdominal pain, recurrent acute pancreatitis, and impaired pancreatic function are the most frequent. This operation is performed to treat cancerous tumours on the head of the pancreas . 8 months, the incidence of P-DM was 20. The ICD-9 procedure code 57. In all of the described techniques, the jejunal limb is brought to the supracolic compartment in a retro colic. Columbia, MO. Despite advances in surgical technique and perioperative care, major pancreatic resection (eg, pancreaticoduodenectomy and total pancreatectomy) continues to have a high incidence of postoperative complications. 3 In. 52. This is the American ICD-10-CM version of Z90. 41 became effective on October 1, 2023. 016. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Codes. 3. [1,2] A pancreaticoduodenectomy is most commonly performed for patients with adenocarcinoma in the head or neck of the pancreas. This is the American ICD-10-CM version of Z85. The procedure involves removal of the “head” (wide part) of the pancreas next to the first part of the small intestine (duodenum). Robotic pancreaticoduodenectomy has generated signicant interest in recent years. Pancreaticoduodenectomy: laparoscopic versus open. 1 This is particularly true for high-volume centres. 2020 Jul:24(7):1597-1604. 2007 Aug;14 (8):2330-6. ICD-10-CM Codes. Previous Code: Z90. Background Enhanced recovery after surgery (ERAS) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications, costs and hospital stay. K91. The objective of this study was to examine the postoperative morbidity and mortality of NAT after pancreaticoduodenectomy (PD) for pancreatic ductal adenocarcinoma (PDA). PDAC treatment necessitates a multidisciplinary approach, and adjuvant chemotherapy after upfront resection is an established means of preventing recurrence. Pancreatic fistula remains one of the most harmful and troublesome complications after laparoscopic pancreaticoduodenectomy (LPD) [1,2,3]. Laparoscopic surgery reduces surgical morbidity in various operations, however laparoscopic pancreaticoduodenectomy (LPD) is a relatively new procedure which lacks a clear consensus regarding its benefits (10-14). However, the excellent long-term survival of these patients with lesser operations and the increased operative mortality and long-term morbidity of Whipple make its current role. 78). Our study aimed to evaluate the dier - ence in surgical, oncological, and survival outcomes after pancreaticoduodenectomy (PD) by either a robotic (RPD) or open. 4. ijsu. Request an Appointment. 7 is a specific code and is valid to identify a procedure. The median overall survival for patients with node. Find a Doctor. Subscribers see mappings between ICD-10-PCS codes and ICD-9. This is the American ICD-10-CM version of Z48. A pancreatic fistula (PF) is the most relevant complication after a pancreaticoduodenectomy (PD). Among 4,255 patients who underwent a pancreaticoduodenectomy or distal pancreatectomy, with a median follow-up of 10. 1–13. The uncinate process is an extension of the lower (inferior) half of the head toward the left; it is of varying size and is wedged between the superior mesenteric vessels (vein on the right, artery on the left) in. Superior mesenteric artery (SMA) pseudoaneurysm formation is a rare and potentially fatal postoperative complication. Radical pancreaticoduodenectomy ICD-9-CM Vol 3 Code 52. What is the appropriate ICD-10-PCS procedure code assignment for the Whipple pyloric sparing pancreaticoduodenectomy procedure?. (ICD-9) diagnosis codes. Median survival following resection was 17 months. The 2024 edition of ICD-10-CM Z90. The 2024 edition of ICD-10-CM Z48. Use Additional. 81 became effective on October 1, 2023. As the population ages, pressure to offer surgical therapy to elderly patients will increase. Background Cavernous transformation of the portal vein (CTPV) due to extrahepatic portal vein obstruction is a rare vascular anomaly. 94 Endoscopic removal of stone (s) from. Introduction. W08. 1007/BF00642443. Methods/design: This is a randomized controlled. A total of 6085 patients underwent pancreaticoduodenectomy: 744 (12. The 2024 edition of ICD-10-CM Z48. 001). 1016/j. It should only be performed when there is a clear indication and when no alternative is available. Using a propensity score model to adjust for potentially confounding. The most common of these include delayed gastric emptying and pancreatic fistula, accounting for up to 30% of postoperative complications [1–7]. Search All ICD-10; ICD-10-CM Diagnosis Codes; ICD-10-PCS Procedure Codes;Assign the appropriate ICD-10-PCS code for this procedure. The 2024 edition of ICD-10-CM C25. With ICD-10 PCS, the Whipple procedure is now often defined by the use of the following seven unique procedure codes: Excision of pancreas, open approach (0FBG0ZZ). 09 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 7 Radical pancreaticoduodenectomy convert 52. Pancreaticoduodenectomy (PD) with or without pylorus preservation remains the mainstay curative treatment in patients presenting with localized periampullary cancers [5, 6]. Total laparoscopic pancreaticoduodenectomy (tLPD) for cancer of the Vater remains a challenging procedure. #2. 0 - other international versions of ICD-10 C25. 9 Other Operations On Pancreas. hat elderly patients undergoing laproscopic pancreatoduodenectomy (LPD) are at an increased risk compared to younger patients. Hoping someone can help me. Purpose: This study was conducted to assess the prevalence and significance of "haziness" around the hepatic artery and celiac axis in patients after pancreaticoduodenectomy. The high mortality of nearly 25 % following pancreatoduodenectomy (PD) has now been reduced to less than 5 % [ 1 – 5] and even zero in some centres of excellence [ 6, 7 ]. C25. Pancreaticoduodenectomy (PD) has become a safe and standard procedure for various periampullary pathologies due to the improvement of perioperative management and surgical technology 1,2. Author phunglien. Background Postoperative pancreatic fistulas (POPFs) are considered inevitable in some patients after pancreaticoduodenectomy (PD), and measures to minimize their clinical impact are needed. The 2024 edition of ICD-10-CM W08. ICD-9-CM. 413A may differ. However, LPD is still. When we compared the 2017 data to the 2010 data for robotic pancreaticoduodenectomy. 1,3,5,7,8,9,10 The degree of glucose metabolism impairment after pancreatectomy is related to the extent of pancreatic parenchyma resection, underlying pancreatic disease, and duration of follow-up. Z90. This activity reviews the procedure of pancreaticoduodenectomy, relevant surgical anatomy, technical details, contraindications, and complications. 6% in 1994 and 10. Introduction. 1. 10. Access to this feature is available in the following products: Find-A-Code Essentials. 001). 2, C25. The SID databases use ICD-9-CM coding for diagnoses and procedures, and include principal diagnosis and procedure, plus as many as 24 additional diagnosis codes or 20 other. Background To present a new pancreaticojejunostomy technique for laparoscopic pancreaticoduodenectomy (LPD) and to evaluate its safety and reliability. ICD-10 code: ICD-9 code: 52. Traditionally, this procedure has been performed most usually by open approach, which results in a large and painful wound. Surgery is the only potentially curative treatment for pancreatic cancer, but it is known that pancreatic surgery is technically demanding: despite advances in decreasing post-operative mortality below 2% after pancreatic resection in specialized. 3 became effective on October 1, 2023. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-PCS, like ICD-10-CM, stresses laterality. CASE REPORT Pancreaticoduodenectomy for pancreas carcinoma occurring in the annular pancreas: report of a case Hiromichi Kawaida1 • Hiroshi Kono1 • Mitsuaki Watanabe1…The pancreaticoduodenectomy (Whipple procedure) is a complex operation with the potential for significant morbidity and mortality. Search Results. 819 for Decreased white blood cell count, unspecified is a medical classification as listed by WHO under the range - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism . Resection of duodenum, open approach (0DT90ZZ). 410. 0001); this trend was largely attributed to an increase in the use of endostenting. Pancreaticoduodenectomy. 9 may differ. 14: Readmission Rate with ICD 527 - Radical Pancreaticoduodenectomy: NA: Unplanned Readmission Rate at DRG: 5. Introduction. The death rate after pancreaticoduodenectomy in the Netherlands was 12. Allen Whipple, who performed 37 pancreaticoduodenectomies during his. Pancreaticoduodenectomy (PD) is the main therapy for resectable and borderline resectable pancreatic ductal adenocarcinoma (PDAC) []. 81–863. 93 to ICD-10-PCS. Pancreaticoduodenectomy (PD) is the standard surgical treatment for pancreatic and periampullary tumors, which involves resection of the duodenum as well as with or without the distal stomach, the first portion of the jejunum, the pancreatic head, and common bile duct with the gallbladder (). Its treatment is via pancreaticoduodenectomy (Whipple's procedure). 7) between Jan 1, 1992, and Dec 31, 1995 (except the 8% of Medicare patients enrolled in risk-bearing health maintenance organizations during this period). Applicable To. 1 Pancreaticoduodenectomy (PD) is the only potentially curative modality for PACs. The primary surgical procedure remains laparoscopic: You should not report unlisted procedure codes or. 6 (subtotal and total pancreatectomy, respectively); and 52. 1, C25. Pancreaticojejunostomy for Pancreatico-enteric Anastomosis after Pancreaticoduodenectomy: one procedure with multiple techniques. A surgeon must not only understand precise surgical techniques but also have a good comprehension of pancreatic anatomy,. Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Pancreaticoduodenectomy (PD) is the first choice of curative treatments for pancreatic cancer and periampullary adenocarcinoma. The. Synonyms: h/o: major abdominal surgery, history of excision of intestinal. A case of chronic pancreatitis localized in the head of the pancreas with pancreas divisum was treated by laparoscopic pylorus-preserving pancreatoduodenectomy. Rules-based maps relating CPT® codes to and from SNOMED CT® clinical concepts.