Central Pancreatectomy with Roux-en-Y Pancreaticojejunal Anastomosis—Report of Two Cases
| Autor: | George Boubousis, Dimitrios N. Kalliouris, Angeliki Bistaraki, Roza Panagis Moureletou, Efstathios Nikou, Konstantinos Manesis, Sotirios Theodoroleas |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Endoscopic ultrasound
pancreaticojejunal anastomosis medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment lcsh:Surgery Case Report Magnetic resonance imaging lcsh:RD1-811 Neuroendocrine tumors medicine.disease Roux-en-Y anastomosis Surgery pnet medicine.anatomical_structure Diabetes mellitus Pancreatectomy medicine central pancreatectomy Pancreas business Pathological |
| Zdroj: | The Surgery Journal, Vol 06, Iss 04, Pp e175-e179 (2020) The Surgery Journal |
| ISSN: | 2378-5136 2378-5128 |
| DOI: | 10.1055/s-0040-1718699 |
| Popis: | Background Central pancreatectomy (CP), a partial resection of the pancreas, is indicated for the excision of neuroendocrine tumors (NETs) of the pancreas, when located at the neck or the proximal body. Specifically, CP is preferable in functional NET and in nonfunctional sized 1 to 2 cm or/with proliferation marker Ki67 Methods In 1 year, we performed CP in two patients, following the aforementioned criteria. They presented with tumor of the body of the pancreas, which was found in random check with computed tomography, with negative hormonal blood tests and they underwent magnetic resonance imaging and endoscopic ultrasound/fine-needle biopsy/pathological examination. Results The patients underwent CP with Roux-en-Y pancreaticojejunal anastomosis of the distal pancreatic stump and jejunal patch of the proximal pancreatic stump. Histological exam revealed NET sized 2.8 cm and 1.45 cm, Grade I and II, respectively. Postoperatively both patients developed small pancreatic leakage, which did not affect their physical condition and stopped after 20 and 30 days. No one needed pancreatic enzymes supplements or developed new-onset diabetes mellitus. Conclusion CP provided adequate, functional remaining pancreatic tissue in both patients. Small leakages were treated conservatively and retreated without septic complications. As a result, CP might be considered as safe and effective technique for pancreatic neck/proximal body NET. |
| Databáze: | OpenAIRE |
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