Choice of surgical approach to insulin-producing pancreatic tumors [Vybor metoda khirurgicheskogo lecheniia insulinprodutsiruiushchikh opukholeĭ...
Егоров А. В., Лежинскиy Д. В., Васильев И. А., Мусаев Г. Х., Парнова В. А.
Хирургия. Журнал им. Н.И. Пирогова
Вып. 8, С. 41-45
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.17116/hirurgia201908141
Аннотация:
AIM: To determine the optimal surgical approach to insulin-producing pancreatic tumors via an analysis of early postoperative results. MATERIAL AND METHODS: There were 134 patients with insulin-producing pancreatic tumors followed by organic hyperinsulinism who have undergone surgery in the faculty-based surgical clinic of the Sechenov First Moscow State Medical University for the period 1990-2017. Patients were divided into three groups depending on type of surgical intervention. Surgical procedure was determined after comprehensive preoperative and intraoperative examination including intraoperative ultrasound. RESULTS: Incidence of postoperative complications was 32.8[%]. Ten (7.5[%]) patients required redo surgical interventions. Overall postoperative mortality was 4.5[%]. The best immediate results were observed in patients undergoing distal pancreatectomy. There was a correlation between incidence of early postoperative complications and tumor location depth in the enucleation group. C
Ключевые слова:
distal pancreatectomy; enucleation; insulinoma; pancreatoduodenectomy; procedure; surgery
clinical decision making; decision making; human; hyperinsulinism; insulinoma; pancreas tumor; pancreatectomy; procedures; Choice Behavior; Clinical Decision-Making; Humans; Hyperinsulinism; Insulinoma; Pancreatectomy; Pancreatic Neoplasms
Язык текста: Русский
ISSN: 2309-5628
Егоров А. В.
Лежинскиy Д. В.
Васильев И. А.
Мусаев Г. Х. Газиявдибир Хадисович 1967-
Парнова В. А. Виктория Александровна 1975-
Egorov A. V.
Lezhinskiy D. V.
Vasilyev I. A.
Musaev G. Kh. Gaziyavdibir Khadisovich 1967-
Parnova V. A. Viktoriya Aleksandrovna 1975-
Choice of surgical approach to insulin-producing pancreatic tumors [Vybor metoda khirurgicheskogo lecheniia insulinprodutsiruiushchikh opukholeĭ podzheludochnoĭ zhelezy]
Choice of surgical approach to insulin-producing pancreatic tumors [Vybor metoda khirurgicheskogo lecheniia insulinprodutsiruiushchikh opukholeĭ...
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 8 С. 41-45
2019
Статья
distal pancreatectomy enucleation insulinoma pancreatoduodenectomy procedure surgery
clinical decision making decision making human hyperinsulinism insulinoma pancreas tumor pancreatectomy procedures Choice Behavior Clinical Decision-Making Humans Hyperinsulinism Insulinoma Pancreatectomy Pancreatic Neoplasms
AIM: To determine the optimal surgical approach to insulin-producing pancreatic tumors via an analysis of early postoperative results. MATERIAL AND METHODS: There were 134 patients with insulin-producing pancreatic tumors followed by organic hyperinsulinism who have undergone surgery in the faculty-based surgical clinic of the Sechenov First Moscow State Medical University for the period 1990-2017. Patients were divided into three groups depending on type of surgical intervention. Surgical procedure was determined after comprehensive preoperative and intraoperative examination including intraoperative ultrasound. RESULTS: Incidence of postoperative complications was 32.8[%]. Ten (7.5[%]) patients required redo surgical interventions. Overall postoperative mortality was 4.5[%]. The best immediate results were observed in patients undergoing distal pancreatectomy. There was a correlation between incidence of early postoperative complications and tumor location depth in the enucleation group. C