Middle-preserving pancreatectomy for multifocal intraductal papillary mucinous neoplasms of the pancreas: report of a case.

Autor: Nishi, Masaaki, Kawasaki, Hideki, Fujii, Masahiko, Nagahashi, Miya, Obatake, Masayoshi, Shirai, Makoto, Yamamoto, Koji, Harada, Masamitsu
Zdroj: Clinical Journal of Gastroenterology; Jun2014, Vol. 7 Issue 3, p251-254, 4p
Abstrakt: Multifocal or continuous pancreatic lesion is identified frequently but finding an appropriate surgical approach is quite challenging. Total pancreatectomy is a useful procedure. However, postoperative endocrine and exocrine disturbance is inevitable. Recently, the safety and feasibility of parenchyma preserving pancreatectomy, including middle-preserving pancreatectomy (MPP), have been reported. MPP is a combined procedure of pancreaticoduodenectomy and distal pancreatectomy, while preserving the body of the pancreas, for cases of multifocal pancreatic lesions. So far, there have only been a few reports that have described MPP. We report a case of MPP for multifocal intraductal papillary mucinous neoplasms of the pancreas, describe the surgical procedure, and discuss the feasibility of MPP as parenchyma-preserving pancreatectomy with reference to the literature. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index