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

查看全文 作　　者：Kwang Yeol [1]Paik;Seong Ho [2]Choi

机构地区：[1]Department of Surgery, Kepco Medical Foundation, Hanil General Hospital, #388-1 Ssangmoon-Dong, Dobong-Gu, Seoul 132-033, South Korea;[2]Department of Surgery, Samsung Medical Center, College of Medicine, Sungkyunkwan University, #50 Irwon-Dong, Gangnam-Gu, Seoul 135-710, South Korea

出　　处：《World Journal of Gastroenterology》索引2009年第15卷第23期,共4页

基　　金：Supported by IN-SUNG Foundation for Medical Research # CA98111 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. 关键词：黏液性肿瘤乳头管内管理围手术期胰腺炎十二指肠

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

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