Middle segment pancreatectomy for the benign tumors of the neck and body of the pancreas (report of 15 cases) / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1402-1404, 2010.
Article
in Chinese
| WPRIM
| ID: wpr-270975
ABSTRACT
<p><b>OBJECTIVE</b>To study the clinical application value of middle segment pancreatectomy in the treatment of benign tumors of the amphi-neck of the pancreas.</p><p><b>METHODS</b>Fifteen cases were retrospectively analyzed treated from November 2005 to June 2009. There were 3 male and 12 female aging from 30 to 50 years. They all received middle segment pancreatectomy for benign tumors of the amphi-neck of the pancreas.</p><p><b>RESULTS</b>There was no death during perioperative period. All the 15 patients received middle segment pancreatectomy. Fourteen of them received the closure of broken ends of pancreatic head, pancreaticojejunostomy (mono-anastomosis) and the rest one received dipl-anastomosis. Postoperative pathology showed that in the 15 patients, 1 got solid-pseudopapillary tumor of the pancreas, 3 got non-functional islet cell tumor, 11 got cystadenoma of pancreas. Three of them got pancreatic fistula and were self cured in 3 months. Follow-up visits to all the patients kept in the following 2 to 45 months. There was no death. No patients got new-onset diabetes and pancreatic pseudocyst. And their tumors were not relapsed.</p><p><b>CONCLUSIONS</b>There is an exact therapeutic effect of middle segment pancreatectomy for benign tumors of the amphi-neck of the pancreas. The treatment has little function damage to patients' endocrine and external secretion. The incidence rate of pancreatic fistula in middle segment pancreatectomy is higher than that in pancreaticoduodenectomy. As long as the drainage is kept unobstructed, most of the pancreatic fistula can be self cured.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatectomy
/
Pancreatic Neoplasms
/
General Surgery
/
Retrospective Studies
/
Follow-Up Studies
/
Methods
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2010
Type:
Article
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