Abstract:
BACKGROUND:The appropriate surgical approach of a pancreatic multifocal disease that skips the body of the gland remains unknown. We sought to analyze a parenchyma-sparing surgical technique consisting of a middle-preserving pancreatectomy (MPP) evaluating feasibility, safety, and oncological and functional outcomes. PATIENTS AND METHODS:Between 1999 and 2007, 5 patients affected by pancreatic benign or slow malignant multicentric body-sparing disease underwent MPP. RESULTS:There were 3 men and 2 women with a median age of 35 years (range 28-70 years). The median operative time was 365 minutes (range 330-440 minutes). Postoperative mortality was nil and postoperative morbidity was 1 (20%). At a median follow-up of 20 months (range 14-118 months) all of the patients are alive and disease-free. Overall, 2 patients developed insulin-dependent diabetes mellitus, as well as exocrine insufficiency. One patient developed only exocrine insufficiency. CONCLUSIONS:MPP is a feasible procedure and might reduce the risk of both endocrine and exocrine insufficiency.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Partelli S,Boninsegna L,Salvia R,Bassi C,Pederzoli P,Falconi Mdoi
10.1016/j.amjsurg.2009.02.017subject
Has Abstractpub_date
2009-09-01 00:00:00pages
e49-53issue
3eissn
0002-9610issn
1879-1883pii
S0002-9610(09)00337-7journal_volume
198pub_type
杂志文章abstract:PURPOSE:The goal of this study was to evaluate the efficacy, morbidity and safety of local parastomal hernia repair using biological mesh. PATIENTS AND METHODS:A retrospective analysis of a prospectively maintained database was performed for parastomal hernia repairs. All patients who underwent local parastomal hernia...
journal_title:American journal of surgery
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journal_title:American journal of surgery
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更新日期:2001-11-01 00:00:00
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更新日期:2017-10-01 00:00:00
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更新日期:2010-06-01 00:00:00
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journal_title:American journal of surgery
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abstract::Intestinal infarction is a condition with a high rate of mortality. Progress in the fields of anesthesia, maintenance of electrolyte balance, and intensive postoperative care has made survival possible in a number of patients subjected to extensive resection of the small intestine. Many of these patients, however, lat...
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