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Total pancreatectomy: Short- and long-term outcomes at a high-volume pancreas center 被引量:3
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作者 Hazem M Zakaria John A Stauffer +3 位作者 massimo raimondo Timothy A Woodward Michael B Wallace Horacio J Asbun 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2016年第9期634-642,共9页
AIM To identify the current indications and outcomes of total pancreatectomy at a high-volume center. METHODS A single institutional retrospective study of patients undergoing total pancreatectomy from 1995 to 2014 wa... AIM To identify the current indications and outcomes of total pancreatectomy at a high-volume center. METHODS A single institutional retrospective study of patients undergoing total pancreatectomy from 1995 to 2014 was performed.RESULTS One hundred and three patients underwent totalpancreatectomy for indications including: Pancreatic ductal adenocarcinoma(n = 42, 40.8%), intraductal papillary mucinous neoplasms(n = 40, 38.8%), chronic pancreatitis(n = 8, 7.8%), pancreatic neuroendocrine tumors(n = 7, 6.8%), and miscellaneous(n = 6, 5.8%). The mean age was 66.2 years, and 59(57.3%) were female. Twenty-four patients(23.3%) underwent a laparoscopic total pancreatectomy. Splenic preservation and portal vein resection and reconstruction were performed in 24(23.3%) and 18 patients(17.5%), respectively. The 90 d major complications, readmission, and mortality rates were 32%, 17.5%, and 6.8% respectively. The 1-, 3-, 5-, and 7-year survival for patients with benign indications were 84%, 82%, 79.5%, and 75.9%, and for malignant indications were 64%, 40.4%, 34.7% and 30.9%, respectively.CONCLUSION Total pancreatectomy, including laparoscopic total pancreatectomy, appears to be an appropriate option for selected patients when treated at a high-volume pancreatic center and through a multispecialty approach. 展开更多
关键词 INTRADUCTAL PAPILLARY MUCINOUS neoplasms Laparoscopic total PANCREATECTOMY Pancreatic DUCTAL adenocarcinoma Laparoscopy PANCREAS cyst PANCREAS cancer
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Role of endosonography in non-malignant pancreatic diseases 被引量:3
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作者 Kyung W Noh Surakit Pungpapong massimo raimondo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第2期165-169,共5页
Endoscopic ultrasound (EUS) has emerged as a valuable tool in the evaluation of benign and malignant pancreatic diseases. The ability to obtain high quality images and perform fine-needle aspiration (FNA) has led EUS ... Endoscopic ultrasound (EUS) has emerged as a valuable tool in the evaluation of benign and malignant pancreatic diseases. The ability to obtain high quality images and perform fine-needle aspiration (FNA) has led EUS to become the diagnostic test of choice when evaluating the pancreas. This article will review the role of EUS in benign pancreatic diseases. 展开更多
关键词 ENDOSONOGRAPHY Chronic pancreatitis Pancreatic cyst
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