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Laparoscopic-assisted spleen-preserving and pylorus-preserving total pancreatectomy for main duct type intraductal papillary mucinous tumors of the pancreas: a case report.

Authors
 Kim, Dong Hyun ; Kang, Chang Moo ; Lee, Woo Jung 
Citation
 Surgical Endoscopy and Other Interventional Techniques, Vol.21(4) : e179~e182, 2011 
Journal Title
 Surgical Endoscopy and Other Interventional Techniques 
ISSN
 1530-4515 
Issue Date
2011
Abstract
Minimally invasive and function-preserving pancreatectomy would be the ideal approach for benign and borderline malignant tumors of the pancreas. Total pancreatectomy can be indicated for the main duct type of intraductal papillary mucin-producing tumor (IPMT) to achieve radical resection. Recently, several studies advocating total pancreatectomy in IPMT have been published, but they are all believed to be done by conventional laparotomy. Herein, we report a case of a 72-year-old female patient who successfully underwent laparoscopic-assisted total pancreatectomy with the spleen and pylorus preserved in borderline malignant main duct type IPMT. A marginal ulcer around the duodenojejunostomy was developed, but managed by a proton-pump inhibitor. She was discharged 20 days after surgery. She was followed for more than 2 years without evidence of tumor recurrence. Her blood sugar level was well controlled by insulin pump therapy and image study showed well-preserved spleen function.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94621
DOI
10.1097/SLE.0b013e31821e9e2d
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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Link
 http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00129689-201108000-00029&LSLINK=80&D=ovft
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