Indication and choice of operation technique for duodenum-preserving resection of pancreatic head: 22 cases reports / 中华外科杂志
Chinese Journal of Surgery
;
(12): 24-26, 2007.
Artigo
em Chinês
| WPRIM
| ID: wpr-334417
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the indication and choice of operation technique for duodenum-preserving resection of pancreatic head.</p><p><b>METHODS</b>The Clinical material of the 22 patients who received duodenum-preserving resection of pancreatic head (DPPHR) from January 2001 to January 2006 was analyzed. Of the 22 cases, 8 cases presented with mucinous cystadenoma, 2 cases with mucinous cystadenocarcinoma, 4 cases with solid-pseudopapillary tumors, 2 cases with pancreatic endocrine tumors, 4 cases with chronic pancreatitis, 1 case with lymph epidermis cyst, 1 case with serous cystadenoma. The indication, choice of operation technique of DPPHR and the prevention and management of the post-operative complications were investigated.</p><p><b>RESULTS</b>No patient died of the operation. Three cases (13.6%) developed pancreatic fistula after the operation, 1 case (4.5%) developed biliary fistula, 1 case (4.5%) developed abdominal infection and 2 cases of duodenal fistula occurred (9.1%).</p><p><b>CONCLUSIONS</b>DPPHR retains the continuity of stomach, duodenum and biliary ducts. The operation is safe and it reduces wounds and excision scope. This procedure can be used in benign and low malignant lesions in the head and neck of the pancreas.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pancreatectomia
/
Neoplasias Pancreáticas
/
Pancreatite
/
Complicações Pós-Operatórias
/
Cirurgia Geral
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Duodeno
/
Métodos
Tipo de estudo:
Estudo observacional
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2007
Tipo de documento:
Artigo
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