Middle-preserving pancreatectomy with reversed pancreaticogastrostomy: report of a case.
Surg Today
; 44(8): 1584-7, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-24062087
ABSTRACT
Parenchyma-sparing pancreatic resections have been reported increasingly in recent years; however, for multifocal diseases involving the head and the tail of the pancreas, total pancreatectomy is still the preferred procedure. The possible consequence of this procedure is loss of normal pancreatic parenchyma, resulting in insufficiency of pancreatic exocrine and endocrine functions. Various types of limited resection have been introduced for isolated or multiple pancreatic lesions, depending on the location of the tumor. Even for multifocal diseases, if the pancreatic body is spared, a middle-preserving pancreatectomy (MPP) can be performed to assure maximal pancreatic function and uncompromised quality of life. Yet, few papers have introduced the feasibility of MPP for a better outcome. This report describes a new surgical technique for MPP using an alternative approach for the remnant pancreas anastomosis. We used this technique successfully to remove a bifocal neoplasm adenocarcinoma of the distal bile duct and mucinous cyst adenoma in the tail of the pancreas.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Páncreas
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Pancreatectomía
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Neoplasias Pancreáticas
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Neoplasias de los Conductos Biliares
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Anastomosis Quirúrgica
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Gastrostomía
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Adenocarcinoma
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Cistoadenoma Mucinoso
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Tratamientos Conservadores del Órgano
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Neoplasias Primarias Múltiples
Límite:
Aged80
/
Humans
Idioma:
En
Revista:
Surg Today
Año:
2014
Tipo del documento:
Article