Abstract：
INTRODUCTION:The mild pancreatic tumors are more and more treated by central pancreatectomy (CP) in alternative with the widened pancreatectomies. Indeed, their morbidity is lesser but they are however burdened by a rate of important postoperative fistulas. The purpose of our study is to compare pancreatico-jejunal anastomosis and pancreatico-gastric anastomosis. METHODS:This work was realized in a bicentric retrospective way. Twenty-five CP were included and classified according to two groups according to the pancreatic anastomosis (group 1 for pancreatico-jejunal anastomosis and group 2 for the pancreatico-gastric anastomosis). CP was realized according to a protocol standardized in both centers and the complications were classified according to the classification of Clavien and Dindo and the fistulas according to the classification of Bassi. RESULTS:Both groups were comparable. The duration operating and the blood losses were equivalent in both groups. There was a significant difference (P=0,014) as regards the rate of fistula. The pancreatico-gastric anastomosis complicated more often of a low-grade fistula. However, in both groups, the treatment was mainly medical. Our results were comparable with those found in the literature and confirmed the advantages of the CP with regard to the cephalic duodeno-pancreatectomy (DPC) or to the distal pancreatectomy (DP). However, in the literature, a meta-analysis did not report difference between both types of anastomosis but this one concerned only the DPC. CONCLUSIONS:This work showed a less important incidence of low-grade fistula after pancreatico-jejunal anastomosis in the fall of a PM. This result should be confirmed by a later study on a more important sample of PM.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Venara A,de Franco V,Mucci S,Frampas E,Lermite E,Regenet N,Hamy Adoi
10.1016/j.jviscsurg.2012.01.002subject
Has Abstractpub_date
2012-04-01 00:00:00pages
e153-8issue
2issn
1878-7886pii
S1878-7886(12)00003-3journal_volume
149pub_type
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pub_type： 杂志文章,评审
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abstract：INTRODUCTION:After the attacks in Paris, France was again struck by terrorism in the city of Nice during the night of July 14, 2016. At 22:33 in the evening, a 19-ton truck drove into the crowd of holiday celebrators. The attack resulted in 458 wounded and 86 deaths. The purpose of this study was to describe the manage...
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pub_type： 杂志文章,评审
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journal_title：Journal of visceral surgery
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journal_title：Journal of visceral surgery
pub_type： 杂志文章
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journal_title：Journal of visceral surgery
pub_type： 杂志文章,随机对照试验
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journal_title：Journal of visceral surgery
pub_type： 杂志文章
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journal_title：Journal of visceral surgery
pub_type： 杂志文章
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更新日期：2012-08-01 00:00:00
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journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.10.008
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journal_title：Journal of visceral surgery
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journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
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journal_title：Journal of visceral surgery
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journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
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journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
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journal_title：Journal of visceral surgery
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journal_title：Journal of visceral surgery
pub_type： 杂志文章
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journal_title：Journal of visceral surgery
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journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究,随机对照试验
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journal_title：Journal of visceral surgery
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journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
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abstract：:Mesenteric hernia is a frequent cause of intestinal obstruction in childhood but is exceptional in the adult. We describe a case in a young adult without any remarkable history who presented with an acute abdomen and intestinal obstruction. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2018.06.007
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abstract：:Less than 20% of hepatocellular carcinoma (HCC) develops in the non-cirrhotic liver (NCL). The diagnosis of HCC in NCL is suggested by a large hypervascular tumor in a 60-75 year old patient (usually male), particularly if the alpha-fetoprotein (AFP) level is high. But AFP is normal more often than not. Surgical resec...
journal_title：Journal of visceral surgery
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更新日期：2011-02-01 00:00:00
