7 research outputs found
Comparison of efficacy of enucleation and pancreaticoduodenectomy for small (<3 cm) branch duct type intraductal papillary mucinous neoplasm located at the head of pancreas and the uncinate process
PURPOSE: Accurate indications and the extent of surgery for branch duct intraductal papillary mucinous neoplasm (IPMN) of the pancreas are still debatable. In particular, small tumor is located at the head portion of pancreas presents a dilemma. The purpose of this study is to compare the efficacy of enucleation (EN) with that of pancreaticoduodenectomy (PD) in patients with small (2 cm<size<3 cm) branch duct IPMN located at the head of pancreas or uncinate process.
MATERIALS AND METHODS: Among 155 patients who underwent pancreatic surgery due to pancreatic cystic tumors between January 2000 and December 2007 at Yonsei University Health System in Seoul, Korea, 14 patients with small (2 cm<size<3 cm) branch duct IPMN located at the head of pancreas or uncinate process were included in this study. Ten patients underwent PD, and four patients underwent EN. We compared short term surgical outcomes between the two groups. Correlation of the variables was analyzed using Mann-Whitney test and Fisher's exact test (SPSS Window 12.0). p-values less than 0.05 were considered significant.
RESULTS: The average age was 62.21 years (ยฑ6.71 years) and consisted of 8 men and 6 women. The mean operation time and blood loss were significantly lower in EN group. There were no significant differences in other surgical morbidities.
CONCLUSION: The result suggests that enucleation for small branch duct IPMN located at the head of pancreas or uncinate process is feasible and as safe as PD, despite a high rate of minor complications.ope
๋ฐฑ์ FN13762 ์ ๋ฐฉ์์ ์ข ์ ์ ์ํ๊ด ํ์ฑ ํ๊ฐ๋ฅผ ์ํ ์ผ์ฐจํต๊ณผ CT ๊ด๋ฅ ์ง์์ ๋ณ๋ฆฌํ์ ํ๊ด ์งํ ์ฌ์ด์ ์๊ด๊ด๊ณ ๋ถ์
Thesis(doctors)--์์ธ๋ํ๊ต ๋ํ์ :์ํ๊ณผ ๋ฐฉ์ฌ์ ๊ณผํ์ ๊ณต,2008.2.Docto
Experimental pyogenic hepatic abscess in rats : single-level dynamic CT findings and their pathologic correlation
Thesis (master`s)--์์ธ๋ํ๊ต ๋ํ์ :์ํ๊ณผ ๋ฐฉ์ฌ์ ๊ณผํ,2003.Maste
The effect of visceral fat mass on pancreatic fistula after pancreaticoduodenectomy.
BACKGROUND: Obesity is associated with perioperative complications and has been considered a risk factor for surgical outcomes of patients undergoing abdominal surgery. The aim of this study is to evaluate the impact of the amount of visceral fat on postoperative morbidity of patients who underwent pancreaticoduodenectomy (PD).
METHODS: We reviewed 181 patients who underwent surgery for periampullary lesions at the Department of Surgery, Gangnam Severance Hospital, Yonsei University Health System between January 2003 and June 2010. The visceral fat area (VFA) and subcutaneous fat area were calculated by computed tomography software.
RESULTS: The mean body mass index (BMI) was 23.4 kg/m(2) (ยฑ3.1 kg/m(2)), and the mean VFA was 94.4 cm(2) (ยฑ49.5 cm(2)). The mean intraoperative blood loss, and the incidence of clinically relevant pancreatic fistula (grade B/C) and clinically relevant delayed gastric emptying (grade B/C) were significantly higher in the high-VFA group (โฅ100 cm(2)). In univariate analysis, the incidence of clinically relevant pancreatic fistula (grade B/C) was significantly higher in the high-BMI group (โฅ25 kg/m(2)), the high-VFA group(โฅ100 cm(2)), the large intraoperative blood loss and transfusion group, and in patients with pathology of nonpancreatic origin (ampulla, bile duct, or duodenum). In multivariate analysis, the high-VFA group (โฅ100 cm(2)) and patients with pathology of nonpancreatic origin were identified as independent factors for clinically relevant pancreatic fistula.
CONCLUSION: VFA is a better indicator for the development of pancreatic fistula after PD than BMI. High VFA (โฅ100 cm(2)) is a risk factor for developing a pancreatic fistula after PD.ope