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Experience of limited pancreatic head resection for management of branch duct intraductal papillary mucinous neoplasm in a single center 被引量：3

Experience of limited pancreatic head resection for management of branch duct intraductal papillary mucinous neoplasm in a single center
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摘要 AIM: To share our surgical experience and the outcome of limited pancreatic head resection for the management of branch duct intraductal papillary mucinous neoplasm (IPMN). METHODS: Between May 2005 and February 2008, nine limited pancreatic head resections (LPHR) were performed for IPMN of the pancreatic head. We reviewed the nine patients, retrospectively. RESULTS: Tumor was located in the uncinate process of the pancreas in all nine patients. Three patients had stents inserted in the main pancreatic duct due to injury. The mean size of tumor was 28.4 mm. Postoperative complications were found in f ive patients: 3 pancreatic leakages, a pancreatitis, and a duodenal stricture. Pancreatic leakages were improved by external drainage. No perioperative mortality was observed and all patients are recorded alive during the mean follow-up period of 17.2 mo. CONCLUSION: In selected patients after careful evaluation, LPHR can be used for the treatment of branch duct type IPMN. In order to avoid pancreatic ductal injury, preand intra-operative defi nite localization and careful operative techniques are required. AIM： To share our surgical experience and the outcome of limited pancreatic head resection for the management of branch duct intraductal papillary mucinous neoplasm （IPMN）.METHODS： Between May 2005 and February 2008, nine limited pancreatic head resections （LPHR） were performed for IPMN of the pancreatic head. We reviewed the nine patients, retrospectively.RESULTS： Tumor was located in the uncinate process of the pancreas in all nine patients. Three patients had stents inserted in the main pancreatic duct due to inju- ry. The mean size of tumor was 28.4 mm. Postoperative complications were found in five patients： 3 pancreatic leakages, a pancreatitis, and a duodenal stricture. Pancreatic leakages were improved by external drainage. No perioperative mortality was observed and all patients are recorded alive during the mean follow-up period of 17.2 mo.CONCLUSION： In selected patients after careful evaluation, LPHR can be used for the treatment of branch duct type IPMN. In order to avoid pancreatic ductal injury, pre- and intra-operative definite localization and careful operative techniques are required.
作者 Kwang Yeol Paik Seong Ho Choi
机构地区 Department of Surgery Department of Surgery
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第23期2904-2907,共4页 世界胃肠病学杂志（英文版）
基金 Supported by IN-SUNG Foundation for Medical Research # CA98111
关键词 Limited pancreatic head resection Branchduct type Intraductal papillary mucinous neoplasm 黏液性 肿瘤 乳头 管内 管理 围手术期 胰腺炎 十二指肠
分类号 R735.9 [医药卫生—肿瘤]
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参考文献23

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同被引文献88

  • 1Cosimo Sperti,Valentina Beltrame,Anna Caterina Milanetto,Margherita Moro,Sergio Pedrazzoli.Parenchyma-sparing pancreatectomies for benign or border-line tumors of the pancreas[J].World Journal of Gastrointestinal Oncology,2010,2(6):272-281. 被引量：12
  • 2Tara S Kent,Charles M Vollmer Jr,Mark P Callery.Intraductal papillary mucinous neoplasm and the pancreatic incidentaloma[J].World Journal of Gastrointestinal Surgery,2010,2(10):319-323. 被引量：3
  • 3Nakagohri T;Kenmochi T;Kainuma O.Inferior head resection of the pancreas for intraductal papillary mucinous tumors,2000.
  • 4Tanaka M,Chari S,Adsay V,et al.International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas. Pancreatology . 2006
  • 5Toshio Nakagohri,Taira Kinoshita,Masaru Konishi,Shinichiro Takahashi,Naoto Gotohda,Shin Kobayashi,Motohiro Kojima,Hideaki Miyauchi,Takehide Asano.Inferior head resection of the pancreas for intraductal papillary mucinous neoplasms[J]. Journal of Hepato - Biliary - Pancreatic Sciences . 2010 (6)
  • 6Akihiko Horiguchi,Shuichi Miyakawa,Shin Ishihara,Masahiro Ito,Yukio Asano,Koichi Furusawa,Tomohiro Shimizu,Toshiyuki Yamamoto.Surgical design and outcome of duodenum-preserving pancreatic head resection for benign or low-grade malignant tumors[J]. Journal of Hepato - Biliary - Pancreatic Sciences . 2010 (6)
  • 7Takashi Hatori,Akira Kimijima,Izumi Fujita,Toru Furukawa,Masakazu Yamamoto.Duodenum-preserving total pancreatectomy for pancreatic neoplasms[J]. Journal of Hepato - Biliary - Pancreatic Sciences . 2010 (6)
  • 8Seiko Hirono,Masaji Tani,Manabu Kawai,Shinomi Ina,Ryohei Nishioka,Motoki Miyazawa,Atsushi Shimizu,Kazuhisa Uchiyama,Hiroki Yamaue.A Central Pancreatectomy for Benign or Low-Grade Malignant Neoplasms[J]. Journal of Gastrointestinal Surgery . 2009 (9)
  • 9M. A. Machado,F. F. Makdissi,R. C. Surjan,M. C. Machado.Laparoscopic resection of uncinate process of the pancreas[J]. Surgical Endoscopy . 2009 (6)
  • 10Teviah Sachs,Wande B. Pratt,Mark P. Callery,Charles M. Vollmer.The Incidental Asymptomatic Pancreatic Lesion: Nuisance or Threat?[J]. Journal of Gastrointestinal Surgery . 2009 (3)

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World Journal of Gastroenterology
2009年 第23期

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