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1
題名:Duodenum-Preserving Pancreatic Head Resection--Preliminary Report on Indications and Techniques     (14點)
十二指腸保留式胰臟頭部切除術--適應症及手術方式初報
著者:Chin-Sheng Hung(洪進昇) ;Peter Lin(林本仁) ;Yu-Wen Tien(田郁文) ;Po-Huang LEE(李伯皇)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:chronic pancreatitis ; duodenum-preserving pancreatic head resection ; Whipple procedure
刊名:Formosan journal of surgery
卷期:37卷6期(2004.12)
頁碼:254-260
語言:英語
摘要: 英文摘要PDF

Objectives: To define the optimal indications for and operative method of duodenum- preserving pancreatic head resection. Methods: The clinicopathologic data, surgical procedures, complications, and clinical outcomes of all patients treated with duodenum-preserving pancreatic head resections at our hospital were reviewed. Results: Six patients (four with chronic pancreatitis and two with cystic pancreatic head tumor) were treated with duodenum-preserving pancreatic head resection (DPPHR). No patient suffered any complication attributable to duodenal ischemia. No tumor recurrence was noted in the two patients with pancreatic head tumor during the follow-up period of 32 and 30 months, respectively. Dramatic pain relief was noted in all of the four patients with chronic pancreatitis during a median follow-up period of 18 months (range: 6 to 27 months). Conclusions: With methods of cutting the pancreas along the line of the anterior superior pancreatico-duodenal artery (ASPD) without doing Kocher's maneuver, duodenum-preserving pancreatic head resection can be safely performed. Duodenum-preserving pancreatic head resection is best indicated for chronic pancreatitis patients with an inflammatory head mass but without obstruction of the common bile duct or duodenum. For patients with pancreatic head cystic tumor, we try to apply this method of operation instead of the Whipple operation, and the results have been satisfactory. However, we should emphasize that duodenum-preserving pancreatic head resection should not be done until frozen section proves benignancy and free section margins.


    

本卷期目次
Formosan journal of surgery 37卷6期 (2004.12)
Tertiary Hyperparathyroidism after Renal Transplantation/ Silke HausteinHerbert Chen
Duodenum-Preserving Pancreatic Head Resection--Preliminary Report on Indications and Techniques/ Chin-Sheng HungPeter LinYu-Wen TienPo-Huang LEE
Laparoscopic Versus Conventional Appendectomy in Children/ Yu-Li LinChien-Hsing LeeKun-Th Yeh
Transverse Colon Volvulus in a Patient with Cerebral Palsy/ Chien-Chih ChenShung-Haur YangJen-Kou Lin
Malignant Carcinoid Tumor of the Gallbladder Presenting as Acute Cholecystitis--Report of A Case/ Tsung-Ching ChouShen-Shun ChangChung-Ta LeeYu-Chung Chang
Dieulafoy's Lesion in Second Portion of the Duodenum with Massive Bleeding/ Wen-Hsiang ChienSen-Ei ShaiCheng-Chung Wu
Multiple Subpial Transection--Report of A Case/ Peng-Wei HsuChen-Nen ChangTony WuChee-Ching Hsu
Leiomyosarcoma of the Sigmoid Mesocolon--Report of A Case/ Jau-Jie YouHung-Chang ChenKoung-Hung HsiaoWilliam Tzu-Liang ChenGer-Hur HsuTing-Ming Huang
Adenosquamous Carcinoma of the Duodenum--Report of A Case/ Chuo-Li RauWen-Bin ChiuKuo-Chung LeeChih-Yuan LeeYing-Chih Liao
 
   
 
   

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