지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 106 - 110 (5page)
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초록· 키워드
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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 (±6.71 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.
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참고문헌 (23)
참고문헌 신청
Allen PJ / 2006 / A selective approach to the resection of cystic lesions of the pancreas: results from 539 consecutive patients / Ann Surg 244 : 572 ~ 582
Balcom JH 4th / 2001 / Ten-year experience with 733 pancreatic resections: changing indications, older patients, and decreasing length of hospitalization / Arch Surg 136 : 3
Beger HG / 2008 / Duodenum-preserving total pancreatic head resection for cystic neoplasm: a limited but cancer-preventive procedure / Langenbecks Arch Surg 393 : 589 ~ 598
Beger HG / 2008 / Duodenum-preserving total pancreatic head resection for cystic neoplastic lesions in the head of the pancreas / J Hepatobiliary Pancreat Surg 15 : 149 ~ 156
Birkmeyer JD / 2002 / Hospital volume and surgical mortality in the United States / N Engl J Med 346 : 1128 ~ 1137
Balcom JH 4th / 2001 / Ten-year experience with 733 pancreatic resections: changing indications, older patients, and decreasing length of hospitalization / Arch Surg 136 : 3
Beger HG / 2008 / Duodenum-preserving total pancreatic head resection for cystic neoplasm: a limited but cancer-preventive procedure / Langenbecks Arch Surg 393 : 589 ~ 598
Beger HG / 2008 / Duodenum-preserving total pancreatic head resection for cystic neoplastic lesions in the head of the pancreas / J Hepatobiliary Pancreat Surg 15 : 149 ~ 156
Birkmeyer JD / 2002 / Hospital volume and surgical mortality in the United States / N Engl J Med 346 : 1128 ~ 1137
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