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논문 기본 정보

자료유형
학술저널
저자정보
Sarang Hong (University of Ulsan) Ki Byung Song (University of Ulsan) Young-Joo Lee (University of Ulsan) Kwang-Min Park (University of Ulsan) Song Cheol Kim (University of Ulsan) Dae Wook Hwang (University of Ulsan) Jae Hoon Lee (University of Ulsan) Sang Hyun Shin (University of Ulsan) Jaewoo Kwon (University of Ulsan) Chung Hyeun Ma (University of Ulsan) Seunghyun Hwang (University of Ulsan) Guisuk Park (University of Ulsan) Yejong Park (University of Ulsan) Seung Jae Lee (University of Ulsan) Yong Woon Kim (University of Ulsan)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.1
발행연도
2018.7
수록면
22 - 28 (7page)

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Purpose: Transduodenal ampullectomy (TDA) has been reported in a limited number of cases and in a small number of case series. The aim of this study was to analyze perioperative and long-term oncological outcomes of patients with ampullary tumors who underwent TDA in a single large-volume center.
Methods: Through a retrospective review of data from 2004 to 2016, we identified 26 patients who underwent TDA at Asan Medical Center.
Results: Eleven of 26 patients underwent TDA for T1 and carcinoma in situ (high-grade dysplasia) cancer; these patients are still alive without recurrence. A major in-hospital complication (3.8%) occurred in 1 case, but there was no case of 90-day mortality. In addition, none of the patients was diagnosed as having newly developed diabetes mellitus after TDA. No significant differences were found between open and laparoscopic-TDA in terms of operation time, painkiller use, and hospital stay.
Conclusion: TDA is a feasible and effective surgical procedure for the treatment of selected patients with ampullary tumors. It is an alternative treatment option in cases of ampullary tumors not amenable to endoscopic papillectomy or pancreaticoduodenectomy.

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INTRODUCTION
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UCI(KEPA) : I410-ECN-0101-2018-514-003115700