Duodenopancreatectomy for pancreatic tumors - pros and cons [Duodenopankreatéktomiia pri opukholiakh podzheludochnoĭ zhelezy - PRO ET CONTRA]
Кригер А. Г., Кармазановский Г. Г., Берелавичус С. В., Горин Д. С., Калдаров А. Р., Пантелеев В. И., Двухжилов М. В., Калинин Д. В., Глотов А. В., Зекцер В. Ю.
Хирургия. Журнал им. Н.И. Пирогова
Вып. 12, С. 28-36
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.17116/hirurgia201912128
Аннотация:
AIM: To optimize surgical treatment of multiple and advanced pancreatic tumors. MATERIAL AND METHODS: There were 852 patients with various pancreatic tumors for the period 2011 - September 2019. Duodenopancreatectomy (DPE) was performed in 18 patients. Locally advanced ductal adenocarcinoma was diagnosed in 10 patients, acinar cell carcinoma - in 1 patient, multiple neuroendocrine tumors - in 4 cases, intraductal papillary mucinous tumor - in 2 patients, multiple metastases of renal cell carcinoma - in 1 patient. This procedure was avoided in 9 patients who underwent alternative operations: pancreatoduodenectomy (PDE) with pancreatic body resection for intraductal papillary mucinous tumor - 5 cases, two-stage (2) and one-stage (1) distal pancreatectomy and PDE for multiple neuroendocrine tumors - 2 patients, simultaneous pancreatic head resection and distal pancreatectomy for multiple metastases of renal cell carcinoma - 1 patient. RESULTS: Postoperative complications occurred in 14 pa
Ключевые слова:
duodenopancreatectomy; pancreas; pancreatoduodenectomy; total duodenopancreatectomy
abdominal surgery; human; pancreas tumor; pancreaticoduodenectomy; pathology; procedures; Digestive System Surgical Procedures; Humans; Pancreatic Neoplasms; Pancreaticoduodenectomy
Язык текста: Русский
ISSN: 2309-5628
Кригер А. Г.
Кармазановский Г. Г. Григорий Григорьевич 1959-
Берелавичус С. В.
Горин Д. С.
Калдаров А. Р.
Пантелеев В. И.
Двухжилов М. В.
Калинин Д. В.
Глотов А. В.
Зекцер В. Ю. Вита Юрьевна 1977-
Kriger A. G.
Karmazanovskij G. G. Grigorij Grigoryevich 1959-
Berelavichus S. V.
Gorin D. S.
Kaldarov A. R.
Panteleev V. I.
Dvukhzhilov M. V.
Kalinin D. V.
Glotov A. V.
Zektser V. Yu. Vita Yuryevna 1977-
Duodenopancreatectomy for pancreatic tumors - pros and cons [Duodenopankreatéktomiia pri opukholiakh podzheludochnoĭ zhelezy - PRO ET CONTRA]
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 12 С. 28-36
2019
Статья
duodenopancreatectomy pancreas pancreatoduodenectomy total duodenopancreatectomy
abdominal surgery human pancreas tumor pancreaticoduodenectomy pathology procedures Digestive System Surgical Procedures Humans Pancreatic Neoplasms Pancreaticoduodenectomy
AIM: To optimize surgical treatment of multiple and advanced pancreatic tumors. MATERIAL AND METHODS: There were 852 patients with various pancreatic tumors for the period 2011 - September 2019. Duodenopancreatectomy (DPE) was performed in 18 patients. Locally advanced ductal adenocarcinoma was diagnosed in 10 patients, acinar cell carcinoma - in 1 patient, multiple neuroendocrine tumors - in 4 cases, intraductal papillary mucinous tumor - in 2 patients, multiple metastases of renal cell carcinoma - in 1 patient. This procedure was avoided in 9 patients who underwent alternative operations: pancreatoduodenectomy (PDE) with pancreatic body resection for intraductal papillary mucinous tumor - 5 cases, two-stage (2) and one-stage (1) distal pancreatectomy and PDE for multiple neuroendocrine tumors - 2 patients, simultaneous pancreatic head resection and distal pancreatectomy for multiple metastases of renal cell carcinoma - 1 patient. RESULTS: Postoperative complications occurred in 14 pa