关键词: Central pancreatectomy Frantz tumor malignant lesions of pancreas pancreas preservation solid cystic pseudopapillary neoplasm

来  源:   DOI:10.4103/jiaps.jiaps_184_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Children evaluated for abdominal pain are increasingly recognized to have pancreatic lesions by imaging modalities. Malignant lesions of the pancreas have also been diagnosed at regular intervals, the most common being solid cystic pseudopapillary neoplasm (SPT) - Borderline (uncertain malignant potential). Surgical resection of this tumor should provide adequate tumor free margins and also should preserve pancreatic tissue. Radical resection of the pancreas will lead to pancreatic insufficiency. Herein, we describe the technique of central pancreatectomy wherein tumor excision gives adequate clearance but preserves the pancreatic tissue, thereby reducing significant morbidity.
UNASSIGNED: Three children ages ranging between 11 to 12 years diagnosed to have SPT were included in the study.
UNASSIGNED: All children underwent successful central pancreatectomy and had an uneventful post operative recovery.
UNASSIGNED: Central pancreatectomy offers a good volume of remanant pancreas preserving near normal pancreatic function making it an ideal procedure for select cases.
摘要:
通过影像学检查越来越认识到患有腹痛的儿童患有胰腺病变。胰腺的恶性病变也被定期诊断,最常见的是实性囊性假乳头状瘤(SPT)-边缘(不确定的恶性潜能)。该肿瘤的手术切除应提供足够的肿瘤游离边缘,并且还应保留胰腺组织。彻底切除胰腺会导致胰腺功能不全。在这里,我们描述了胰腺中央切除术的技术,其中肿瘤切除提供了足够的清除,但保留了胰腺组织,从而降低发病率。
研究中纳入了3名年龄在11至12岁之间被诊断患有SPT的儿童。
所有患儿均成功行中央胰腺切除术,术后恢复顺利。
中央胰腺切除术提供了大量的保留胰腺,使其保持接近正常胰腺功能,使其成为某些病例的理想手术。
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